Head and neck robotic surgery combined with sentinel lymph node biopsy. Fascinating, but feasible?

Accorona, Remo; D’Onghia, Alessandra; Capaccio, Pasquale

doi:10.1016/j.oraloncology.2020.104939

Cited by 2 publications

(3 citation statements)

References 43 publications

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“…To the best of our knowledge this study presents the first description of a robot‐assisted SLNB procedure in the head and neck with multi‐modal guidance. 26 Here we demonstrate in a porcine model the technical feasibility of a single retroauricular incision to provide access to all targeted nodal groups, and describe a workflow that involves preoperative MRI, intraoperative fluorescence‐imaging guidance (with optional visual identification), and confirmation of the SLN with a magnetometer probe.…”

Section: Discussionmentioning

confidence: 99%

Preclinical feasibility of robot‐assisted sentinel lymph node biopsy using multi‐modality magnetic and fluorescence guidance in the head and neck

et al. 2022

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Background: Sentinel lymph node biopsy (SLNB) is a staging procedure dependent on accurate mapping of draining lymphatics via tracers. Robotassisted SLNB enables access to multiple neck levels with a single incision and intraoperative fluorescence guidance to the SLN.Methods: Lymphatic mapping in swine was done using a magnetic tracer and fluorescent dye, injected into the tongue. MRI preoperatively mapped lymphatic spread of the magnetic tracer. Dissection was performed using a da Vinci Xi robot guided by fluorescence-imaging of the dye. Results: Robot-assisted SLNB was successfully performed in all animals (n = 5). A novel MRI protocol differentiated SLNs (n = 6) from lower echelon nodes (n = 11) based on flow progression. Fluorescence imaging provided valuable intraoperative guidance and correlated with magnetic-positive nodes.Conclusions: This study demonstrates preclinical feasibility of a robot-assisted approach to SLNB using magnetic and fluorescent tracers in the head and neck, enabling both preoperative mapping and intraoperative guidance.

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Section: Discussionmentioning

confidence: 99%

Preclinical feasibility of robot‐assisted sentinel lymph node biopsy using multi‐modality magnetic and fluorescence guidance in the head and neck

et al. 2022

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“…In the future, it will be interesting to see different techniques combined, such as robotic and sentinel lymph biopsy, both aimed at minimizing the impact of oncological surgery on the head and neck region. This topic is still at an early stage of investigation and more studies are coming, with an interesting development perspective [34]. Furthermore, many tools of detection are in development, such as Tc-99 m tilmanocept or indocyanine green, allowing more precision in sentinel node mapping [32,34].…”

Section: Sentinel Node Mappingmentioning

confidence: 99%

“…This topic is still at an early stage of investigation and more studies are coming, with an interesting development perspective [34]. Furthermore, many tools of detection are in development, such as Tc-99 m tilmanocept or indocyanine green, allowing more precision in sentinel node mapping [32,34].…”

Section: Sentinel Node Mappingmentioning

confidence: 99%

Current Approaches to Salvage Surgery for Head and Neck Cancer: A Comprehensive Review

Mastronicola

Roux

Casse

et al. 2023

Cancers

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Salvage surgeries of head and neck cancer are often complicated and do not always show decent results. This type of procedure is tough on the patient, as many crucial organs can be affected. A long period of reeducation usually follows the surgery because of the need to rehabilitate functions such as speech or swallowing. In order to lighten the journey of the patients, it is important to develop new technologies and techniques to ease the surgery and limit its damages. This seems even more crucial since progress has been made in the past years, allowing more salvage therapy to take place. This article aims at showing the available tools and procedures for salvage surgeries, such as transoral robotic surgery, free-flap surgery, sentinel node mapping, and many others, that help the work of the medical team to operate or obtain a better understanding of the status of the cancer when taken in charge. Yet, the surgical procedure is not the only thing determining the outcome of the operation. The patient themself and their cancer history also play an important part in the care and must be acknowledged.

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Head and neck robotic surgery combined with sentinel lymph node biopsy. Fascinating, but feasible?

Cited by 2 publications

References 43 publications

Preclinical feasibility of robot‐assisted sentinel lymph node biopsy using multi‐modality magnetic and fluorescence guidance in the head and neck

Preclinical feasibility of robot‐assisted sentinel lymph node biopsy using multi‐modality magnetic and fluorescence guidance in the head and neck

Current Approaches to Salvage Surgery for Head and Neck Cancer: A Comprehensive Review

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