Transoral robotic supraglottic partial laryngectomy: report of the first Brazilian case

Cernea, Cláudio Roberto; Matos, Leandro Luongo de; Carlucci, Dorival de; Leonhardt, Fernando Danelon; Haddad, Leonardo; Walder, Fernando

doi:10.1016/j.bjorl.2016.01.016

Cited by 4 publications

(5 citation statements)

References 11 publications

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“…The flexible CO 2 laser also provides fine incisions with excellent hemostasis and minimal peripheral tissue injury [12]. It also allows early feeding without the need of a tube and also eliminates the need for tracheotomy in many cases, as the rates of aspiration, fistulas or other complications are significantly reduced when compared with conventional surgery and with oncologic and functional results quite similar to transoral microsurgery [5].…”

Section: Complicationsmentioning

confidence: 99%

“…Since Billroth performed, in 1874, the first total laryngectomy [4], there has been great progress in laryngeal cancer surgery, mainly in its technique, culminating in the partial laryngectomies. There have also been developments in its approaches, with less invasive procedures such as transoral endoscopic surgery and, in the last de-cade, robotic surgery [5]. The conservative larynx surgery is based on the organ anatomical and embryological development.…”

Section: Introductionmentioning

confidence: 99%

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Results of the Conservative Surgery for Laryngeal Cancer

Silva¹,

Ortiz²,

Aparecido³

2017

Otolaryngol Res Rev

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Introduction:The techniques of partial laryngectomy are based on the compartimentalization of the larynx and their aims are to provide the oncologically radical excision and to preserve the laryngeal function.Objective: To evaluate the oncological results and the complications in patients submitted to these techniques. Methods: A consecutive series of 120 patients underwent partial laryngectomy from 1996 to 2016, according to the local clinical staging (T). The surgical margins were evaluated for frozen section examination during the surgery. The follow up varied from 4 to 120 months (median, 48.5). Adjuvant radiation therapy was indicated according to the lymph node staging (pN+). The following complications were evaluated: edema of the arytenoid, pharyngocutaneous or laryngocutaneous fistula, pneumonia, haemorrhage, dysphagia, wound infection, laryngeal stenosis and glottic insufficiency. Results:The free of disease survival was: 84.6% for T1 tumors; 84.5% for T2; and 40% for T3. After the surgical salvage, the ultimate survival was: 97% for T1; 92.9% for T2; and 40% for T3. There was edema of the arytenoid in 7 patients, laryngocutaneous fistula in 4; wound infection in 3; pneumonia in 5; dysphagia in 1; and laryngeal stenosis in 6. Conclusions:The global disease free survival rate after treatment was of 84,6% in T1, 84,5% in T2 and 40% in T3, with better results in earlier staged tumors. Complications incidence is acceptable and can be treated conservatively.

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Section: Complicationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Results of the Conservative Surgery for Laryngeal Cancer

Silva¹,

Ortiz²,

Aparecido³

2017

Otolaryngol Res Rev

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“…Neck dissections can be performed during the same procedure. For some authors, neck dissections are performed secondary within the first 3 weeks following the supraglottic laryngectomy, to limit the edema and the need for a tracheotomy ( 13 , 18 , 21 , 28 – 30 ).…”

Section: Transoral Robotic Supraglottic Laryngectomymentioning

confidence: 99%

A Contemporary Review of Evidence for Transoral Robotic Surgery in Laryngeal Cancer

Gorphe

2018

Front. Oncol.

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Numerous studies have shown that transoral robotic surgery (TORS) for oropharyngeal cancers is safe and that it yields satisfactory functional and oncological outcomes. For many teams worldwide, it is therefore a standard surgical approach with eligible patients. In the same time, TORS is increasingly being used and described in the context of laryngeal cancer surgery. It is proposed as an alternative to open approaches, which may yield inconsistent functional results and significant rates of postoperative complications. It may also be an alternative to definitive radiotherapy, which entails significant early and late toxicities. Moreover, it has been explored as an alternative to endoscopic laser surgery in patients with difficult exposure, even though there is still a lack of evidence about which procedure provides better vizualization of the vocal cords. This article provides a review of the indications for TORS in laryngeal cancer, the peri-operative morbidity, functional outcomes, and oncological results.

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“…However, there are different applications, particularly in terms of tumor stage and neck dissection. Some authors have performed simultaneous neck dissection, some after 2-4 weeks, and others have performed it on N0 patients 2-4 weeks later and N+ necks simultaneously [6][7][8][9][10][11][12][13][14][15]. Some authors have performed TORSL only in T1 and T2 tumors, some in T1, T2, and T3 tumors, and some rarely in T4 tumors [6][7][8][9][10][11][12][13][14][15][16].…”

Section: Preoperative Evaluation and Patient Selectionmentioning

confidence: 99%

“…Ansarin et al performed a tracheotomy in patients with simultaneous neck dissection, using anticoagulants, and observed excess hemorrhage [13]. General practice is to perform a tracheotomy in higher-risk patients [5,6,10,11,[15][16][17][18].…”

Section: Surgical Techniquementioning

confidence: 99%

Transoral Robotic Supraglottic Laryngectomy in Laryngeal Squamous Cell Carcinoma

2017

Int J Otorhinolaryngol

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The most common histological type of laryngeal cancer is squamous cell carcinoma, and the supraglottic and glottic regions are the most common sites of this type. Supraglottic laryngectomy is the most common treatment in supraglottic squamous cell carcinoma. Recently, robotic surgery has become widespread in laryngeal surgery. This review summarizes publications on Transoral Robotic Supraglottic Laryngectomy (TORSL).

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Transoral robotic supraglottic partial laryngectomy: report of the first Brazilian case

Cited by 4 publications

References 11 publications

Results of the Conservative Surgery for Laryngeal Cancer

Results of the Conservative Surgery for Laryngeal Cancer

A Contemporary Review of Evidence for Transoral Robotic Surgery in Laryngeal Cancer

Transoral Robotic Supraglottic Laryngectomy in Laryngeal Squamous Cell Carcinoma

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