The dawn of robotic surgery in otolaryngology-head and neck surgery

Nakayama, Meijin; Holsinger, F. Christopher; Chevalier, Dominique; Orosco, Ryan K.

doi:10.1093/jjco/hyz020

Cited by 23 publications

(13 citation statements)

References 60 publications

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“…In the past few decades, endoscopic surgery in the head and neck region has been rapidly expanding in the form of minimally invasive surgeries; transoral robotic surgery (TORS), 25 transoral video laryngoscopic surgery (TOVS), 26 and endoscopic laryngo‐pharyngeal surgery (ELPS). 6 Associated devices include multiarm retractors or curved laryngoscopes, which provide the operator excellent visualization of the field.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic near‐infrared photoimmunotherapy in an orthotopic head and neck cancer model

et al. 2021

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Near‐infrared photoimmunotherapy (NIR‐PIT) is a cell selective cancer therapy that uses an antibody‐photoabsorber (IRDye700DX, IR700) conjugate (APC) and NIR light. NIR‐PIT targeting epidermal growth factor receptor (EGFR) in head and neck cancer (HNC) was conditionally approved in Japan in 2020. APC‐bound tumors can be detected using endoscopic fluorescence imaging, whereas NIR light can be delivered using endoscopic fiber optics. The aims of this study were: (1) to assess the feasibility of endoscopic NIR‐PIT in an orthotopic HNC model using a CD44‐expressing MOC2‐luc cell line; and (2) to evaluate quantitative fluorescence endoscopic imaging prior to and during NIR‐PIT. The results were compared in 3 experimental groups: (1) untreated controls, (2) APC injection without light exposure (APC‐IV), and (3) APC injection followed by NIR light exposure (NIR‐PIT). APC injected groups showed significantly higher fluorescence signals for IR700 compared with the control group prior to therapeutic NIR light exposure, and the fluorescence signal significantly decreased in the NIR‐PIT group after light exposure. After treatment, the NIR‐PIT group showed significantly attenuated bioluminescence compared with the control and the APC‐IV groups. Histology demonstrated diffuse necrotic death of the cancer cells in the NIR‐PIT group alone. In conclusion, endoscopically delivered light combined with quantitative fluorescence imaging can be used to “see and treat” HNC. This method could also be applied to other types of cancer approachable with endoscopy.

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Section: Discussionmentioning

confidence: 99%

Endoscopic near‐infrared photoimmunotherapy in an orthotopic head and neck cancer model

et al. 2021

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“…The application of robotic technology in the head and neck field (26,27,29,30) has favored the spread of this procedure not only for oropharyngeal (29,30) and, more recently, laryngeal (31) and neck disorders (32), but also for anterior oral floor diseases (28,33). A transoral robotassisted management of large submandibular gland stones was recently described in a small and heterogeneous series of patients (21,28,34,35), while only two case reports on TORSS have been published for different salivary disorders (20,22).…”

Section: Discussionmentioning

confidence: 99%

Transoral robotic submandibular sialadenectomy: how and when

Capaccio¹,

Montevecchi

Meccariello

et al. 2020

Gland Surg

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Traditional removal of the submandibular gland is done through a transcervical approach; new proposals have come into the scientific limelight such as endoscopy-assisted transcervical sialadenectomy or (robot-assisted) submandibular sialadenectomy through a postauricular facelift transcervical approach.Transoral submandibular sialadenectomy has been described in the past, but with the advent of transoral robotic surgery, the proposal of removing the submandibular gland from the oral floor is gaining strength.A transoral robotic submandibular sialadenectomy by the Si Da Vinci Surgical Robot was performed in a 68-years-old female patient under general anaesthesia. The transoral robotic procedure was successful with no major postoperative complications. A mild tingling of the tip of the tongue was described by the patient 3 months after. The surgical time took 110 minutes. No residual gland was observed at ultrasonography. The transoral robotic submandibular sialadenectomy seems to be, with selective indication based on clinical and radiological assessment, a viable and safe alternative to traditional management in patients who refuse a cervical scar and the risk of paralysis of the facial nerve.

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“…The utilization of robotic systems for common surgical procedures is rapidly increasing [ 1 – 4 ]. These systems allow the surgeon to operate with enhanced accuracy and precision with respect to instrument handling skills.…”

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confidence: 99%

Validation of the portable virtual reality training system for robotic surgery (PoLaRS): a randomized controlled trial

et al. 2021

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Background As global use of surgical robotic systems is steadily increasing, surgical simulation can be an excellent way for robotic surgeons to acquire and retain their skills in a safe environment. To address the need for training in less wealthy parts of the world, an affordable surgical robot simulator (PoLaRS) was designed. Methods The aim of this pilot study is to compare learning curve data of the PoLaRS prototype with those of Intuitive Surgical’s da Vinci Skills Simulator (dVSS) and to establish face- and construct validity. Medical students were divided into two groups; the test group (n = 18) performing tasks on PoLaRS and dVSS, and the control group (n = 20) only performing tasks on the dVSS. The performance parameters were Time, Path length, and the number of collisions. Afterwards, the test group participants filled in a questionnaire regarding both systems. Results A total of 528 trials executed by 38 participants were measured and included for analyses. The test group significantly improved in Time, Path Length and Collisions during the PoLaRS test phase (P ≤ 0.028). No differences was found between the test group and the control group in the dVSS performances during the post-test phase. Learning curves showed similar shapes between both systems, and between both groups. Participants recognized the potential benefits of simulation training on the PoLaRS system. Conclusions Robotic surgical skills improved during training with PoLaRS. This shows the potential of PoLaRS to become an affordable alternative to current surgical robot simulators. Validation with similar tasks and different expert levels is needed before implementing the training system into robotic training curricula.

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The dawn of robotic surgery in otolaryngology-head and neck surgery

Cited by 23 publications

References 60 publications

Endoscopic near‐infrared photoimmunotherapy in an orthotopic head and neck cancer model

Endoscopic near‐infrared photoimmunotherapy in an orthotopic head and neck cancer model

Transoral robotic submandibular sialadenectomy: how and when

Validation of the portable virtual reality training system for robotic surgery (PoLaRS): a randomized controlled trial

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