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find Author "李小磊" 2 results
  • Exploration of porcine thyroidectomy via submaxillary approach using MP1000 robotic surgical system in porcine animal model

    ObjectiveTo investigate the safety and feasibility of domestic MP1000 robotic surgical system assisted thyroidectomy via submaxillary approach in porcine animal model. MethodThe thyroidectomy process assisted by the MP1000 robotic surgical system via submaxillary approach for a Bama pig in the 960th Hospital of the Joint Logistics Support Force was retrospectively analyzed. ResultsThe operation was performed as planned programme using the MP1000 robotic surgical system without opening, adding or lengthening the surgical incision. There was no mechanical problems during the MP1000 robotic surgical operation. The operative time was 53 min and the estimated intraoperative blood loss was 10 mL. There was no shaking of instruments and robotic arm during the operation, and the 3 surgical instruments cooperated skillfully, the establishment of surgical operation space successfully was completed, the thyroid blood vessels accurately and finely was dissected, and the separation, coagulation and cutting of blood vessels were smoothly completed. The recurrent laryngeal nerve and parathyroid gland were delicately dissected and protected. The carotid sheath, trachea, esophagus, and other important organs around the thyroid did not be damaged. The master-slave mapping frequency was high, and there was no delay sense during the operation. The lens resolution of MP1000 was 1 920×1 080, the surgical field of vision was clear, no visual field was defected and the visual field was stable and not shaking, light source front and intelligent adaptive temperature control system reduced the fogging of the lens, and the lens was scoured for 4 times during the operation. ConclusionAccording to the preliminary results of the experimental animal in this study, MP1000 robotic surgical system can successfully complete thyroidectomy via submaxillary approach in porcine animal model.

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  • 甲状腺癌颈淋巴结清扫术后难治性乳糜漏临床分析

    目的 分析甲状腺癌手术后难治性乳糜漏的临床特点,探讨难治性乳糜漏的治疗策略。方法 回顾性分析解放军第九六〇医院(原济南军区总医院)2009年 1 月至 2021 年1 月期间收治的 5 021例行甲状腺癌颈淋巴结清扫术患者的临床资料,术后发生乳糜漏122例,其中治疗时间超过2周的难治性乳糜漏34例,对难治性乳糜漏患者的一般情况、治疗方式、峰值引流量(日最高引流量)、带管时间等进行分析总结。结果 5 021例患者中发生乳糜漏122例,占所有患者的2.4%。经非手术治疗2周内治愈者88例,占乳糜漏总数的72.1%;治疗时间超过2周的难治性乳糜漏34例,占乳糜漏总数的27.9%。难治性乳糜漏经非手术方法治愈者18例,经再次手术治愈者16例,2组患者的乳糜漏位置左侧多于右侧;34例难治性乳糜漏峰值引流量(日最高引流量)手术组(16例)高于非手术组(P<0.05),带管时间手术组短于非手术组(P<0.05)。结论 低峰值引流量乳糜漏经非手术治疗多可治愈;难治性乳糜漏左侧多见,高流量乳糜漏(峰值引流量≥1 000 mL)宜早期实施手术治疗。

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