Leading the industry, the Thyroid and Breast Surgery Department of West China Fourth Hospital of Sichuan University successfully entered the era of surgical robots

Cover news reporter Ning Zhi (pictured by the hospital)

The reporter learned from the West China Fourth Hospital of Sichuan University that recently, the West China Fourth Hospital of Sichuan University completed a radical surgery for thyroid cancer assisted by the Da Vinci robot, marking that the hospital's thyroid and breast surgery has successfully entered the era of surgical robots.

in surgery

It is understood that the patient undergoing this surgery was a 35-year-old male who was treated in the thyroid surgery clinic of the hospital. The thyroid color ultrasound showed that a weak echo nodule with a size of about 8×6×8mm was found in the right lobe of the thyroid gland. Fine needle aspiration biopsy was performed. Later he was diagnosed with papillary carcinoma of the right lobe of the thyroid gland. The patient and his family subsequently made a special trip to the hospital to request surgical treatment.

Cao Chen, director of thyroid and breast surgery at the hospital, discussed with the attending physicians Zhang Shu and Zhang Junhui and concluded that the patient’s thyroid tumor was close to the side of the larynx and trachea, adjacent to the recurrent laryngeal nerve and superior laryngeal nerve. The nerves could easily be injured during the operation. and trachea, resulting in complications such as tracheal fistula, recurrent laryngeal nerve injury, superior laryngeal nerve injury, hypoparathyroidism, etc. It is recommended that routine open surgery be appropriate; however, patients have more needs for social activities and are unwilling to choose neck preservation. Conventional open surgery for surgical scars, there is a strong desire for laparoscopic thyroid surgery (no surgical incision in the neck); considering that the precision of conventional laparoscopic surgical instruments is relatively insufficient, the patient's tumor is located very close to important structures, and there are relatively few postoperative complications. High risk of injury.

If the da Vinci robot is used to perform surgery on this patient, it has the following advantages: It has a three-dimensional three-dimensional view and a dexterous and precise robotic arm, which is more conducive to performing complex and delicate surgical operations in a small space, and robotic surgery The use of precise capsular anatomy technology and three-level vascular protection technology for parathyroid glands is conducive to preserving the blood supply of parathyroid glands and reducing the incidence of hypoparathyroidism after thyroid cancer surgery, which greatly increases the possibility of damaging nerves, blood vessels and trachea during surgery. Reduced, the patient will bleed less, the wound will be smaller, the probability of postoperative complications will be reduced, and the postoperative recovery will be faster.

Director Cao Chen’s team performed “robotic thyroid cancer radical surgery” on the patient after fully communicating with the patient and his family and obtaining consent. The operation went smoothly. The size of the small incisions on the edges of the bilateral areola and the unilateral armpit were about 7 mm, and the blood loss was only 5 ml. After surgery, the patient's neurological function and parathyroid function were normal, without any complications, and he was able to carry out normal activities and eat normally the next day.

The patients and their families said: "This operation has small wounds, mild pain, and fast recovery. We are very satisfied with the results of the operation. We are very grateful to the medical team of the Thyroid and Breast Surgery Department of West China Fourth Hospital!"

After the operation, the hospital’s thyroid and breast surgery experts concluded that the hospital’s ability to independently complete the first robotic thyroid surgery is inseparable from its mature experience in carrying out many years of laparoscopic thyroid surgery. The mature technical conditions combined with the uniqueness of robotic surgery Advantages, further sublimating the advantages of endoscopic technology, marking a major improvement in technical level.

Relevant data show that the incidence of thyroid cancer in our country is increasing year by year, and it has become the seventh most common cancer in my country. The number of patients dying from thyroid cancer is also gradually increasing. Therefore, the standardized diagnosis and treatment of thyroid cancer should attract sufficient attention. of attention. As the first hospital in the China Alliance of Occupational Disease Prevention and Control Hospitals and the third hospital in Sichuan Province to independently complete robotic thyroid cancer surgery, West China Fourth Hospital provides thyroid cancer patients with more treatment options.

“The fourth-generation da Vinci surgical robot introduced by our hospital has successfully performed 14 cases of minimally invasive surgery integrating human and machine since it started clinical practice on April 27. The scope of surgery covers the urinary pelvic floor, Gastrointestinal surgery, andrology, thoracic surgery, nail and breast surgery, etc." Cheng Yongzhong, Secretary of the Party Committee of West China Fourth Hospital, revealed that in the future, more doctors from the hospital will join the team of robot-assisted surgical treatment after rigorous training. More and more patients are expected to benefit greatly from robot-assisted surgery.

The above is the detailed content of Leading the industry, the Thyroid and Breast Surgery Department of West China Fourth Hospital of Sichuan University successfully entered the era of surgical robots. For more information, please follow other related articles on the PHP Chinese website!