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机器人甲状腺切除术

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ID: ANR12006chis
医学动画文字记录:如果你的甲状腺有问题,医生可能会建议你进行机器人甲状腺切除术。甲状腺位于喉上方,包裹气管。甲状腺可以直接分泌甲状腺激素至血液中。身体会利用甲状腺激素来增加能量并在必要时升高体温。例如,当人体受到寒冷刺激时,就会通过分泌甲状腺激素来防止热量的散失。当你确诊了甲状腺癌、甲状腺肿、良性结节、囊肿或甲状腺功能过度活跃时,医生可能会建议你进行机器人甲状腺切除术。除了这些情况,如果你的体重健康,甲状腺癌的直径小于 1 英寸(约2.5厘米),甲状腺肿或结节小于 1 英寸和 1/2 英寸,并且不希望颈部留下瘢痕,也可以考虑进行机器人甲状腺手术。在手术之前,先要建立静脉通路。可能会通过静脉注射抗生素以减少感染发生。手术前要进行全身麻醉。经口腔进行气管插管至喉下,以维持术中呼吸。外科医生会在你的腋窝做一个小切口,医生可以从这个位置触及甲状腺,而不会在颈部留下瘢痕。可能会在胸骨处做第二个小切口。通过腋窝切口,医生将在胸部和颈部皮下创建一条到达甲状腺的路径。助手将通过切口插入带有手术器械的机械臂。与标准的腹腔镜器械不同,这些器械可以 360 度旋转,并且比人的手腕具有更大的灵活性。医生坐在一个特殊的控制台上,用类似操纵杆的控件和脚踏板来操作机械臂和摄像头。计算机会将医生手指的精确动作转换为手术器械的精确动作。同时,高清视觉系统将提供手术区域的放大三维立体视图。机械臂就位后,外科医生会小心地将甲状腺与其周围的组织分开。根据你进行手术的原因,医生将选择切除单叶甲状腺或是整个腺体。医生也可能会切除附近的淋巴结。手术即将结束时,外科医生将在腋窝切口中放置一个手术引流管。引流管将放置几天。在手术结束时,微小的切口将用缝线、缝合钉、手术粘合剂或封闭式敷料胶带关闭。手术完成后,医生会拔除气管插管,并将你送至病房进行监护。医生会检查你喉部的损伤情况,并根据需要静脉注射止痛药,或者继续注射抗生素。大多数患者在术后1~2天即可出院。出院时,医生可能会为你开钙补充剂。如果你的整个腺体都被切除,则需要每天服用甲状腺激素替代药物。

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