{"id":1798,"date":"2017-05-05T15:53:30","date_gmt":"2017-05-05T07:53:30","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/222010\/?p=1798"},"modified":"2017-05-10T08:36:34","modified_gmt":"2017-05-10T00:36:34","slug":"%e3%80%90%e8%80%b3%e9%bc%bb%e5%96%89%e7%a7%91%e3%80%91%e9%a0%ad%e9%a0%b8%e9%83%a8%e8%85%ab%e7%98%a4%e6%b2%bb%e7%99%82-%e6%9c%80%e6%96%b0%e9%81%94%e6%96%87%e8%a5%bfxi%e6%89%8b%e8%a1%93%e7%b3%bb","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/222010\/?p=1798","title":{"rendered":"\u3010\u8033\u9f3b\u5589\u79d1\u3011\u982d\u9838\u90e8\u816b\u7624\u6cbb\u7642 \u6700\u65b0\u9054\u6587\u897fXi\u624b\u8853\u7cfb\u7d71"},"content":{"rendered":"

\u4e2d\u5c71\u9644\u91ab \u8033\u9f3b\u5589\u79d1 \u838a\u4fca\u7fa9 \u91ab\u5e2b<\/h4>\n

\u672c\u9662\u81f4\u529b\u65bc\u5c16\u7aef\u91ab\u7642\uff0c\u5e74\u521d\u5c07\u9054\u6587\u897f\u624b\u8853\u7cfb\u7d71\u5347\u7d1a\u70ba\u5168\u4e16\u754c\u6700\u65b0\u6a5f\u7a2e<\/strong>da Vinci Xi System<\/strong>\u3002\u672c\u7cfb\u7d71\u64c1\u6709\u66f4\u8f15\u5de7\u3001\u8584\u578b\u7684\u624b\u81c2\u8a2d\u8a08\uff0c\u5c0d\u65bc\u7a7a\u9593\u72f9\u5c0f\u7684\u982d\u9838\u90e8\u816b\u7624\u624b\u8853\uff0c\u63d0\u4f9b\u4e86\u5fae\u5275\u5668\u68b0\u524d\u6240\u672a\u6709\u7684\u5bec\u5ee3\u53c8\u9748\u6d3b\u7684\u64cd\u63a7\u79fb\u52d5\u7bc4\u570d\u3002\u5716\u4e00\u70ba\u672c\u9662\u9054\u6587\u897fXi\u624b\u8853\u7cfb\u7d71\u6a5f\u7a2e\u3002
\n\"\"<\/a><\/p>\n

(\u5716\u4e00)<\/p>\n

\u73fe\u4eca\u982d\u9838\u90e8\u816b\u7624<\/strong>\u7684\u6cbb\u7642\u65b9\u5f0f\uff0c\u826f\u6027\u816b\u7624\u4ee5\u624b\u8853\u5207\u9664\u70ba\u4e3b\uff0c\u800c\u60e1\u6027\u816b\u7624(\u982d\u9838\u764c<\/strong>)\u6cbb\u7642\u65b9\u5f0f\u4e3b\u8981\u6709\u4e09\u7a2e\uff1a\u624b\u8853\u3001<\/strong>\u653e\u5c04\u8207\u5316\u7642\u3002\u56e0\u816b\u7624\u7684\u75c5\u7406\u5206\u985e\u3001\u90e8\u4f4d\u3001\u5206\u671f\u53ca\u5927\u5c0f\u4e0d\u540c\u3002\u53e3\u8154\u764c<\/strong>\u4ee5\u624b\u8853\u70ba\u4e3b\uff0c\u8853\u5f8c\u8996\u75c5\u7406\u7d50\u679c\u518d\u8f14\u52a9\u5316\u653e\u7642\uff1b\u9f3b\u54bd\u764c<\/strong>\u4ee5\u5316\u653e\u7642\u70ba\u4e3b\uff1b\u54bd\u5589\u764c<\/strong>\u65e9\u671f\u53ef\u9078\u64c7\u624b\u8853\u65b9\u5f0f\uff0c\u8853\u5f8c\u8996\u75c5\u7406\u7d50\u679c\u518d\u8f14\u52a9\u5316\u653e\u7642\uff0c\u6216\u4ee5\u5316\u653e\u7642\u70ba\u4e3b\uff1b\u90e8\u5206\u54bd\u5589\u764c\u56e0\u816b\u7624\u904e\u5927\u6216\u4f4d\u7f6e\u592a\u6df1\uff0c\u7d93\u5e38\u53ea\u80fd\u7528\u5316\u653e\u7642\u4ee5\u4fdd\u7559\u54bd\u5589\u5668\u5b98\u6216\u5168\u54bd\u5589\u5207\u9664\uff1b\u800c\u6dcb\u5df4\u764c\u5247\u4e3b\u4ee5\u5316\u5b78\u6cbb\u7642\u3002<\/p>\n

\u50b3\u7d71\u54bd\u5589\u816b\u7624\u624b\u8853\uff0c\u5982\u820c\u6839\u3001\u6241\u6843\u817a\u7684\u53e3\u54bd\u764c\u3001\u4e0b\u54bd\u764c\u53ca\u5589\u764c<\/strong>\uff0c\u5e38\u9700\u8981\u7531\u9838\u90e8\u6216\u4e0b\u5df4\u5207\u958b\u9032\u884c\u624b\u8853\uff0c\u92f8\u958b\u4e0b\u9837\u9aa8\u548c\u5207\u958b\u5468\u570d\u7d44\u7e54\uff0c\u6df1\u5165\u54bd\u5589\u90e8\u6458\u9664\u816b\u7624\uff0c\u9020\u6210\u8f03\u5927\u7684\u50b7\u53e3\uff0c\u51fa\u8840\u3001\u611f\u67d3\u7b49\u98a8\u96aa\u4e5f\u76f8\u5c0d\u5347\u9ad8\uff0c\u6709\u6642\u9084\u9700\u66ab\u6642\u6c23\u5207\u4fdd\u8b77\u547c\u5438\u9053\uff0c\u8853\u5f8c\u53ef\u80fd\u6709\u541e\u56a5\u56f0\u96e3\u3001\u54ac\u5408\u529f\u80fd\u4e0d\u826f\u3001\u984f\u9762\u7f3a\u640d\u3001\u50b7\u53e3\u6301\u7e8c\u9ebb\u75fa\u6216\u9aa8\u982d\u7652\u5408\u4e0d\u826f\u7b49\u5f8c\u907a\u75c7\uff0c\u9020\u6210\u75c5\u4eba\u6975\u5927\u58d3\u529b\uff0c\u805e\u4e4b\u751f\u61fc\u3001\u671b\u4e4b\u537b\u6b65\u3002<\/p>\n

\u986f\u5fae\u93e1\u6216\u5167\u8996\u93e1\u54bd\u5589\u816b\u7624\u96f7\u5c04\u624b\u8853\uff0c\u4ee5\u5589\u982d\u93e1\u5230\u9054\u54bd\u5589\u90e8\u8f03\u6df1\u8655\u5207\u9664\u816b\u7624\uff0c\u4f46\u56e0\u4fb7\u9650\u5149\u5b78\u986f\u5fae\u93e1\u76f4\u8996\u7684\u8996\u91ce\uff0c\u4e14\u96f7\u5c04\u53ea\u80fd\u76f4\u5c04\u7121\u6cd5\u8f49\u5f4e\uff0c\u6709\u4e9b\u816b\u7624\u7684\u5207\u9664\u6709\u53d7\u9650\u4e4b\u8655\u3002<\/p>\n

\u9054\u6587\u897f\u7d93\u53e3\u54bd\u5589\u816b\u7624\u624b\u8853 (Transoral robotic surgery, TORS)\u7cbe\u6e96\u5207\u9664\u816b\u7624<\/strong>\uff0c\u6b62\u8840\u529f\u80fd<\/strong>\u4f73<\/strong>\uff0c\u514d\u9664\u92f8\u958b<\/strong>\u4e0b\u9837\u9aa8<\/strong>\u3002\u65e9\u671f\u54bd\u5589\u764c\u5982\u820c\u6839\u764c\u3001\u6241\u6843\u817a\u764c\u3001\u4e0b\u54bd\u764c\u53ca\u5589\u764c\u7b49\u60a3\u8005\uff0c\u5728\u5f35\u53e3\u5668\u8f14\u52a9\u4e0b\uff0c\u9ad8\u89e3\u6790\u5ea6\u76843D\u7acb\u9ad4\u5167\u8996\u93e1\u53ca\u5fae\u5275\u5668\u68b0\u7d93\u53e3\u6df1\u5165\u54bd\u5589\u90e8\uff0c\u5728\u72f9\u7a84\u7684\u624b\u8853\u7a7a\u9593\u88e1\u4f9d\u624b\u8853\u90e8\u4f4d\u7684\u9700\u6c42\u9078\u64c7\u76f4\u8996\u3001\u5411\u4e0a\u6216\u5411\u4e0b\u7b49\u5408\u9069\u7684\u8996\u7dda\uff0c\u4f7f\u7528\u591a\u89d2\u5ea6\u65cb\u8f49\u7684\u5fae\u5275\u5668\u68b0\uff0c\u7cbe\u6e96\u5207\u9664\u816b\u7624\uff0c\u907f\u514d\u5927\u91cf\u51fa\u8840\u3002\u6b64\u624b\u8853\u65b9\u5f0f\u7e2e\u5c0f\u50b7\u53e3\u3001\u6e1b\u8f15\u75bc\u75db\uff0c\u964d\u4f4e\u611f\u67d3\u53ca\u4f75\u767c\u75c7\u7b49<\/strong>\u554f\u984c\u767c\u751f\uff0c\u540c\u6642\u6709\u6a5f\u6703\u4fdd\u7559\u54bd\u5589\u7684\u529f\u80fd\uff0c\u7e2e\u77ed\u4f4f\u9662\u5929\u6578\uff0c<\/strong>\u4f7f\u75c5\u60a3\u64c1\u6709\u8f03\u4f73\u7684\u751f\u6d3b\u54c1\u8cea<\/strong>\u3002<\/p>\n

\u50b3\u7d71\u9838\u90e8\u816b\u7624\u624b\u8853\u5982\u7532\u72c0\u817a\u816b\u7624\u3001\u553e\u6db2\u817a\u816b\u7624\u3001\u9838\u6dcb\u5df4\u816b\u7624\u3001\u56ca\u816b\u6216\u8840\u7ba1\u7624\u7b49\uff0c\u8853\u5f8c\u5bb9\u6613\u5728\u9838\u90e8\u7559\u4e0b\u660e\u986f\u75a4\u75d5\uff0c\u5c24\u5176\u6709\u87f9\u8db3\u816b\u9ad4\u8cea\u8005\u3002<\/p>\n

\u9054\u6587\u897f\u8f14\u52a9\u7532\u72c0\u817a\u3001\u9838\u90e8\u816b\u7624\u624b\u8853<\/strong>\uff0c\u53ef\u4e0d\u7d93\u7531\u9838\u90e8\u958b\u5200\uff0c\u4f9d\u816b\u7624\u4f4d\u7f6e\u5207\u53e3\u53ef\u6539\u81ea\u7d93\u7531\u53e3\u8154\u3001<\/strong>\u814b\u4e0b\u6216\u8033\u5f8c\u9aee\u969b\u7dda\uff0c\u5fae\u5275\u5668\u68b0\u5f9e\u5207\u53e3\u76f4\u9054\u9838\u90e8\u816b\u7624\u90e8\u4f4d\uff0c\u7cbe\u6e96\u5207\u9664\u75c5\u7076\uff0c\u4e5f\u5c07\u624b\u8853\u50b7\u53e3\u85cf\u8d77\u4f86\uff0c\u8853\u5f8c\u75a4\u75d5\u88ab\u906e\u853d\u800c\u7dad\u6301\u982d\u9838\u90e8\u5916\u89c0\uff0c\u4f7f\u9838\u90e8\u300c\u7121\u75d5\u300d\u3002<\/p>\n

\"\"<\/a> \"\"<\/a><\/p>\n

\u6700\u65b0da Vinci Xi System\u5f37\u5316\u4e86\u9054\u6587\u897f\u624b\u8853\u7cfb\u7d71\u539f\u6709\u7684\u6838\u5fc3\u7279\u9ede\uff0c\u5305\u62ec\u5fae\u8155\u578b\u5668\u68b0\u30013D-HD\u7684\u93e1\u982d\u3001\u76f4\u89ba\u7684\u64cd\u4f5c\u8207\u7b26\u5408\u4eba\u9ad4\u5de5\u5b78\u7684\u8a2d\u8a08\u3002\u8207\u524d\u5e7e\u4ee3\u6a5f\u7a2e\u6bd4\u8f03\uff0cda Vinci Xi System\u7684\u95dc\u9375\u7279\u9ede\u5982\u4e0b\uff1a<\/p>\n

    \n
  1. \u5168\u65b0\u8a2d\u8a08\u7684\u61f8\u540a\u5f0f\u6a5f\u68b0\u624b\u81c2\uff0c\u66f4\u5bb9\u6613\u4ee5\u5404\u7a2e\u89d2\u5ea6\u3001\u4e0d\u540c\u89e3\u5256\u4f4d\u7f6e\u9032\u5165\u9ad4\u8154\u3002<\/li>\n
  2. \u5168\u65b0\u6578\u4f4d\u5f0f\u5167\u8996\u93e1\u93e1\u982d\u8a2d\u8a08\uff0c\u6bd4\u539f\u4f86\u7684\u66f4\u52a0\u8f15\u5de7\u9748\u6d3b\uff0c\u5927\u5e45\u63d0\u5347\u5f71\u50cf\u54c1\u8cea\uff0c\u4f7f\u5f71\u50cf\u7cfb\u7d71\u7cbe\u7dfb\u7684\u6210\u50cf\u3002<\/li>\n
  3. \u5167\u8996\u93e1\u80fd\u5920\u67b6\u8a2d\u65bc\u4efb\u4e00\u500b\u624b\u81c2\u4e0a\uff0c\u63d0\u4f9b\u624b\u8853\u90e8\u4f4d\u66f4\u6709\u5f48\u6027\u7684\u8996\u91ce\u7bc4\u5716\u3002<\/li>\n
  4. \u66f4\u8f15\u5de7\u624b\u81c2\u8a2d\u8a08\uff0c\u642d\u914d\u5168\u65b0\u8a2d\u8a08\u7684\u95dc\u7bc0\u624b\u8155\uff0c\u4f7f\u6a5f\u68b0\u624b\u81c2\u6709\u4e86\u524d\u6240\u672a\u6709\u7684\u5bec\u5ee3\u79fb\u52d5\u7bc4\u570d\u3002<\/li>\n
  5. \u8f03\u9577\u5668\u68b0\u7684\u8a2d\u8a08\uff0c\u4f7f\u91ab\u5e2b\u5728\u6709\u66f4\u5927\u53ca\u66f4\u6df1\u7684\u624b\u8853\u7bc4\u570d\u5167\u64cd\u4f5c\u3002<\/li>\n<\/ol>\n

    \u9451\u65bc\u653e\u5c04\u5316\u5b78\u6cbb\u7642<\/strong>\u6709\u9577\u671f\u6bd2\u6027<\/strong>\u7684\u6f5b\u529b\uff0c\u5982\u541e\u56a5\u56f0\u96e3<\/strong>\uff0c\u5f71\u97ff\u751f\u6d3b\u54c1\u8cea<\/strong>\uff0c\u56e0\u6b64\u4ee5\u624b\u8853\u4f5c\u70ba\u982d\u9838\u764c\u7684\u4e3b\u8981\u6cbb\u7642\u65b9\u5f0f\u5df2\u7d93\u5f15\u8d77\u91ab\u754c\u5f88\u5927\u7684\u8208\u8da3\uff0c\u5c24\u5176\u662f\u4eba\u985e\u4e73\u7a81\u75c5\u6bd2(HPV)\u967d\u6027\u53e3\u54bd\u764c\u5e74\u8f15\u60a3\u8005\u3002\u6709\u7814\u7a76\u986f\u793a\u5176\u60a3\u8005\u6cbb\u7642\u7684\u5b58\u6d3b\u7387\u96d6\u7136\u9ad8\uff0c\u4f46\u653e\u5c04\u7dda\u7684\u5291\u91cf\u8d8a\u9ad8\uff0c\u7522\u751f\u541e\u56a5\u56f0\u96e3\u7684\u9577\u671f\u526f\u4f5c\u7528\u6108\u5927\uff0c\u5f71\u97ff\u751f\u6d3b\u54c1\u8cea\u4e5f\u6108\u56b4\u91cd\u3002\u76f8\u95dc\u7814\u7a76(phase II data (ECOG 1308))\u5df2\u986f\u793a\u60a3\u8005\u63a5\u53d7\u7d93\u53e3\u986f\u5fae\u624b\u8853\u6216\u7d93\u53e3\u9054\u6587\u897f\u624b\u8853\uff0c\u518d\u8f14\u52a9\u4ee5\u8f03\u4f4e\u5291\u91cf\u7684\u653e\u5c04\u7dda\u7167\u5c04\u5c0d\u65bc\u75be\u75c5\u6cbb\u7642\u662f\u8db3\u5920\u7684\u3002\u56e0\u6b64\u76ee\u524d\u6b50(PATHOS)\u7f8e(ECOG 3311)\u90fd\u6301\u7e8c\u7a4d\u6975\u9032\u884c\u5927\u898f\u6a21\u81e8\u5e8a\u8a66\u9a57\uff0c\u4f86\u8b49\u5be6\u7d93\u53e3\u5fae\u5275\u624b\u8853\u7684HPV\u967d\u6027\u53e3\u54bd\u764c\u60a3\u8005\u662f\u5426\u56e0\u964d\u4f4e\u653e\u5c04\u7dda\u5291\u91cf\u800c\u6709\u9577\u671f\u8f03\u597d\u7684\u541e\u56a5\u529f\u80fd\u8207\u751f\u6d3b\u54c1\u8cea4<\/sup>\u3002<\/p>\n

    \u9054\u6587\u897f\u624b\u8853\u7684\u91ab\u7642\u79d1\u6280\u8b93\u982d\u9838\u90e8\u816b\u7624\u60a3\u8005\u591a\u4e86\u4e00\u7a2e\u6cbb\u7642\u9078\u64c7\uff0c\u6700\u65b0\u9054\u6587\u897f\u624b\u8853\u7cfb\u7d71\uff0c\u66f4\u662f\u7528\u65bc\u982d\u9838\u90e8\u816b\u7624\u624b\u8853\u7684\u597d\u5e6b\u624b\u3002\u4f46\u4e26\u4e0d\u662f\u53d6\u4ee3\u50b3\u7d71\u958b\u653e\u5f0f\u624b\u8853\uff0c\u4e5f\u4e0d\u662f\u6240\u6709\u816b\u7624\u60a3\u8005\u90fd\u9069\u7528\uff0c\u5efa\u8b70\u982d\u9838\u764c\u60a3\u8005\u60f3\u4e86\u89e3\u6cbb\u7642\u65b9\u5f0f\uff0c\u90fd\u61c9\u8207\u4e3b\u6cbb\u91ab\u5e2b\u8aee\u8a62\u8a0e\u8ad6\u3002\u6700\u5f8c\u4e5f\u8981\u63d0\u9192\u6c11\u773e\u5e73\u6642\u8981\u591a\u95dc\u5fc3\u81ea\u5df1\u8eab\u9ad4\uff0c\u65e9\u671f\u767c\u73fe\u3001\u65e9\u671f\u6cbb\u7642\u3002<\/p>\n

    \u53c3\u8003\u6587\u737b<\/p>\n

      \n
    1. The role of transoral robotic surgery in the management of oropharyngeal cancer: a review of the literature. Dowthwaite SA, Franklin JH, Palma DA, Fung K, Yoo J, Nichols AC ISRN Oncol. 2012; 2012():945162.<\/li>\n
    2. Robot-Assisted Neck Dissection Through a Modified Facelift Incision. WG Albergotti, JK Byrd, M Nance, EC Choi, et al. Annals of Otology, Rhinology & Laryngology 2016, Vol. 125(2) 123\u2013129
      \n<\/em><\/li>\n
    3. Unison Surgicals. http:\/\/www.unisonsrg.com.tw\/product\/detail\/29a5f260-302e-11e5-9c5e-90b11c2a992
      \n<\/em><\/em><\/li>\n
    4. PATHOS: a phase II\/III trial of risk-stratified, reduced intensity adjuvant treatment in patients undergoing transoral surgery for Human papillomavirus (HPV) positive oropharyngeal cancer. Waheeda Owadally, Chris Hurt, Hayley Timmins, et al. BMC Cancer. 2015; 15: 602.<\/em><\/em><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[],"class_list":["post-1798","post","type-post","status-publish","format-standard","hentry","category-doc-heaedu"],"_links":{"self":[{"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/posts\/1798"}],"collection":[{"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1798"}],"version-history":[{"count":6,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/posts\/1798\/revisions"}],"predecessor-version":[{"id":1831,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/posts\/1798\/revisions\/1831"}],"wp:attachment":[{"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1798"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1798"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1798"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}