Feasiblity of transoral robotic hypopharyngectomy for early-stage hypopharyngeal carcinoma

Park, Young Min; Kim, Won Shik; Byeon, Hyung Kwon; Virgilio, Armando De; Jung, Jinsei; Kim, Se‐Heon

doi:10.1016/j.oraloncology.2010.05.003

Cited by 115 publications

(85 citation statements)

References 24 publications

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“…For tonsil, base of tongue and hypopharyngeal tumors, the techniques used were similar to those described by Weinstein et al [10] for transoral robotic radical tonsillectomy, Moore et al [11] for base of tongue tumors and Park et al [9] for hypopharyngeal tumors. table 5 2nd table for Da Vinci robot devices 6 Rack for imaging equipement 7 Anesthetist 8 Monopolar/ bipolar cautery En bloc resection was always possible in this series.…”

Section: Surgical Settingmentioning

confidence: 99%

“…In 2006, three patients with tongue base tumors underwent TORS as part of a prospective clinical trial by O'Malley et al [8]. Since then a limited number of series has been published in the literature [5,[8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

“…Based on these findings, we decided to use TORS in procedures where we considered TLM suboptimal according to our experience and previously published literature [5,[8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

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Transoral robotic surgery for the management of head and neck tumors: learning curve

Lawson¹,

Matar

Remacle³

et al. 2011

Eur Arch Otorhinolaryngol

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Transoral robotic surgery (TORS) is an emerging technique for the treatment of head and neck tumors. The objective of this study is to describe our first steps and present our experience on the technical feasibility, safety, and efficacy of TORS for the treatment of selected malignant lesions. From April 2008 to September 2009, 24 patients were enrolled in this prospective trial. Inclusion criteria were: adults with T1, T2 and selected T3 tumors involving the oral cavity, pharynx, and supraglottic larynx and a signed informed consent was obtained from the patient. Exclusion criteria were: tumors not accessible to TORS after unsuccessful attempts to expose properly the lesion to operate. The ethical committee's approval was obtained to perform this study. Twenty-four patients were included in this study: 10 supraglottic tumors, 10 pharyngeal tumors and 4 oral cavity tumors. Nine patients had T1 tumors, 12 had T2 tumors, and 1 patient had a T3 tumor. In all cases, tumor resection could be performed by robotic surgery exclusively and negative resection margins were achieved with control by frozen section. None of them received intraoperative reconstruction. None of the patients required tracheotomy. There was no intraoperative complication related to the use of the robot. The average setup time was 24 ± 14 min (range 10-60 min). The average surgical time was 67 ± 46 min (range 12-180 min). Surgical and setup time decreased after the first cases. The mean hospital stay was 9 days. Oral feeding was resumed at 3 days. TORS seems to be a safe, feasible, minimally invasive treatment modality for malignant head and neck tumors with a short learning curve for surgeons already experienced in endoscopic surgery.

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Section: Surgical Settingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Transoral robotic surgery for the management of head and neck tumors: learning curve

Lawson¹,

Matar

Remacle³

et al. 2011

Eur Arch Otorhinolaryngol

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“…The successful use of TORS has been reported in early T1 and T2 carcinomas of the hypopharynx [14]. However, the resection of a posterior pharyngeal wall salivary gland neoplasm has not been previously reported.…”

Section: Discussionmentioning

confidence: 99%

Robot-Assisted Removal of a Posterior Pharyngeal Wall Mucoepidermoid Carcinoma

Kayhan

Kaya

Sayın

2011

Indian J Otolaryngol Head Neck Surg

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“…Transoral robotic surgery (TORS) using the da Vinci system (Intuitive Surgical, Sunnyvale, CA, USA) is described as a minimally invasive surgery that provides excellent outcomes and shortens hospital stay [1]. Different laryngeal subsite surgeries such as supraglottic laryngectomy [2] and hypopharyngectomy [3] have been addressed by TORS, with feasibility trials and promising initial data. A combination of both procedures is now adapted to perform TORS total laryngectomy (TORS-TL).…”

Section: Introductionmentioning

confidence: 99%

Transoral Robotic Surgery Total Laryngectomy

Lawson¹,

Mendelsohn²,

Fakhoury³

et al. 2018

ORL

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Objective: The aim of our study is to demonstrate our technique for performing transoral robotic surgical total laryngectomy (TORS-TL) with the use of the da Vinci robotic system. Materials and Methods: We provide a comprehensive description of the TORS-TL operative techniques. Two fresh-frozen human cadavers were selected after ethics approval to describe the appropriate step-by-step surgical resection. We adopted a 5-step procedure that was later applied to 2 of our patients. The first patient presented initially with a squamous cell carcinoma (SCC) in the laryngeal glottis area. A lack of clinical response to initial treatment by chemoradiotherapy led to the decision of performing salvage TL surgery. The second patient had a previous history of head and neck SCC (HNSCC); he had no recurrence of his primary tumor but suffered significantly from postoperative breathing and swallowing difficulties due to severe laryngeal incompetence. Results: TORS-TL was successfully performed in all cases. The operative time for the cadavers was approximately 65 and 55 min, respectively. It was significantly longer for the patients, 210 and 235 min, respectively, despite the fact that exactly the same steps were followed throughout all procedures. There were no intra- or postoperative complications or surgical morbidity related to the use of the da Vinci system. Conclusion: TORS-SL for SCC was performed in a safe, reliable, and smooth manner and was shown to be successful in treating our patients. We thus believe that our step-by-step surgical technique for TORS-SL is efficient and reproducible.

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Feasiblity of transoral robotic hypopharyngectomy for early-stage hypopharyngeal carcinoma

Cited by 115 publications

References 24 publications

Transoral robotic surgery for the management of head and neck tumors: learning curve

Transoral robotic surgery for the management of head and neck tumors: learning curve

Robot-Assisted Removal of a Posterior Pharyngeal Wall Mucoepidermoid Carcinoma

Transoral Robotic Surgery Total Laryngectomy

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