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      2. west china medical publishers
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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.

          Release date:2023-11-24 10:51 Export PDF Favorites Scan
        • 甲狀腺癌頸淋巴結清掃術后難治性乳糜漏臨床分析

          目的 分析甲狀腺癌手術后難治性乳糜漏的臨床特點,探討難治性乳糜漏的治療策略。方法 回顧性分析解放軍第九六〇醫院(原濟南軍區總醫院)2009年 1 月至 2021 年1 月期間收治的 5 021例行甲狀腺癌頸淋巴結清掃術患者的臨床資料,術后發生乳糜漏122例,其中治療時間超過2周的難治性乳糜漏34例,對難治性乳糜漏患者的一般情況、治療方式、峰值引流量(日最高引流量)、帶管時間等進行分析總結。結果 5 021例患者中發生乳糜漏122例,占所有患者的2.4%。經非手術治療2周內治愈者88例,占乳糜漏總數的72.1%;治療時間超過2周的難治性乳糜漏34例,占乳糜漏總數的27.9%。難治性乳糜漏經非手術方法治愈者18例,經再次手術治愈者16例,2組患者的乳糜漏位置左側多于右側;34例難治性乳糜漏峰值引流量(日最高引流量)手術組(16例)高于非手術組(P<0.05),帶管時間手術組短于非手術組(P<0.05)。結論 低峰值引流量乳糜漏經非手術治療多可治愈;難治性乳糜漏左側多見,高流量乳糜漏(峰值引流量≥1 000 mL)宜早期實施手術治療。

          Release date:2022-05-13 03:20 Export PDF Favorites Scan
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          2. 射丝袜