Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2023, Vol. 37 ›› Issue (3): 46-50.doi: 10.6040/j.issn.1673-3770.0.2022.073

• 论著 • Previous Articles    

The complications of tracheal injury in da Vinci robotic thyroidectomy: four case reports and literature review

YUE Tao, ZHUANG Dayong, ZHOU Peng, LI Xiaolei, XU Jing, ZHU Jian, HE Qingqing   

  1. Department of Thyroid and Mammary Surgery, 960th Hospital of PLA, Jinan 250031, Shandong, China
  • Published:2023-05-24

Abstract: Objective To investigate the causes, clinical characteristics, diagnosis and treatment of tracheal injury in da Vinci robotic thyroidectomy and improve the understanding of this complication. Methods Four patients with tracheal injury in da Vinci robotic thyroidectomy were retrospectively analyzed, and relevant literature was reviewed. Results The clinical manifestations of tracheal injury in da Vinci robot thyroidectomy lack specificity; cough and subcutaneous emphysema of neck/chest are usually the initial presentation, which may be accompanied by pneumomediastinum or pneumothorax. Respiratory obstruction symptoms such as wheezing and dyspnea may occur in severe cases. Tracheal injury progresses rapidly, and delayed diagnosis or treatment may lead to serious consequences. Enhanced computed tomography and three-dimensional reconstruction of the trachea or bronchoscopy can confirm the diagnosis. Conclusion Tracheal injury in da Vinci robotic thyroidectomy is a rare but life-threatening complication. Subcutaneous emphysema and respiratory changes in patients who underwent da Vinci robotic thyroidectomy should indicate the possibility of tracheal injury.

Key words: Da Vinci robotic surgical system, Thyroidectomy, Complications, Tracheal injury

CLC Number: 

  • R736.1
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