Thyroid cancer is one of the fastest-growing malignancies worldwide in recent years and generally requires surgery**. Although traditional open neck surgery can lead to thyroid cancer, it will leave obvious scars on the neck, which seriously affects the aesthetics.
Therefore, how to reduce scars as much as possible and improve the quality of life of patients under the premise of ensuring the safety of surgery has always been the goal pursued by doctors.
Recently, the team of Associate Professor Zhao Huadong of the Department of General Surgery and Nail and Breast Surgery of Tangdu Hospital of the Air Force Military Medical University successfully implemented a new surgical method for a young female thyroid cancer patient - "transoral vestibular approach combined with thoracic breast approach Da Vinci robotic thyroid cancer ** surgery". On the premise of perfect ** lesions, it has achieved a perfect appearance. After scientific and technological innovation, this surgical method is the first in the world.
Ms. Wang, a young working woman, was found to have bilateral thyroid nodules and multiple swollen lymph nodes in her neck during a physical examination. Unable to accept the huge scar on her neck, she resisted surgery for a while**. After many consultations, she came to the Department of Nail and Breast Surgery, Department of General Surgery, Tangdu Hospital, and expressed three wishes: complete postoperatively, no impact on her voice after surgery, and no scar in front of her neck after surgery.
Associate Professor Zhao Huadong's team carefully discussed the surgical plan, combined with the patient's condition and demands, and finally decided to implement the da Vinci robot transoral vestibular approach combined with thoracic breast approach total thyroidectomy + bilateral ** lymph node dissection + right neck II, III, IV, V lymph node dissection.
After careful arrangement, the operation was carried out smoothly. As Ms. Wang wished, all three demands were completed, and the postoperative recovery was smooth without any complications, and she returned to normal life and work.
What it looks like after traditional surgery.
The postoperative appearance of the new Tang Du procedure.
Associate Professor Zhao Huadong pointed out that this operation fully combines the advantages of transoral vestibular approach to the neck IV and V and transthoracial breast to remove the neck II and III lymph nodes, thus avoiding the problem of visual field blind spots that may exist in a single approach of neck dissection, and the effect is significantly better than that of traditional open neck surgery.
Deputy Chief Physician Tang Haili said that the da Vinci robotic thyroid cancer surgery makes up for the shortcomings of traditional open surgery and laparoscopic surgery. It has the advantages of 3D high-definition surgical vision, surgical instruments with endo-wrist function of bionic wrist, intuitive synchronous control technology, intelligent operating platform, and short learning curve. This surgical method subverts the traditional surgical mode of "surgeon-patient" direct contact, extends the surgical ability of surgeons, perfectly solves the physical and psychological problems of thyroid cancer patients, and significantly improves the quality of life of patients.
The team led by He Xianli, director of the Department of General Surgery of Tangdu Hospital, and associate professor Zhao Huadong successfully performed more than 300 cases of da Vinci robotic thyroid cancer**, among which the number of thyroid cancer surgeries carried out through the oral vestibular approach ranked first in the country. The world's first new surgery completed this time fully demonstrates the leading position of the Department of General Surgery of Tangdu Hospital in the field of thyroid surgery in China, and also provides new ideas and methods for the treatment of thyroid cancer.