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自20世纪70年代开始,声门上型喉癌的CO_2激光内镜治疗技术(transoral supraglottic laryngectomy,TSL)一直在不断改进和发展(Vaughan,1978)。其优势在于吞咽和发声功能的快速康复、无需行气管切开以及住院时间短等,但其局限性不可忽视,包括术者远离术野操作、术区的暴露困难以及肿瘤侵犯深度难以判断等(Zeitels等,1990)。近年来,机器人手术系统(transoral robotic surgery,TORS)的应用为声门上型喉癌手术提供了新的
Since the 1970s, transosseous supraglottic laryngectomy (TSL) has been continuously improved and developed in the supraglottic carcinoma (Vaughan, 1978). Its advantage lies in swallowing and vocal function of rapid rehabilitation, without tracheotomy and hospitalization time is short, but its limitations can not be ignored, including the operation of the operation away from surgery field, the surgical area of exposure and the depth of tumor invasion is difficult to judge, etc. Zeitels et al., 1990). In recent years, the application of transoral robotic surgery (TORS) has provided a new approach for supraglottic laryngeal cancer surgery