Transoral Robotic Supraglottic Partial Laryngectomy

Kayhan, Fatma Tülin; Kaya, Kamïl Hakan; Altıntaş, Ahmet; Sayın, İbrahim

doi:10.1097/scs.0000000000000572

Cited by 27 publications

(33 citation statements)

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“…Yutmaya daha erken dönüş sağlanması, nazogastrik tüp gereksiniminin daha kısa süreli olması, daha kısa hastanede kalış sağlanması açısından hastaya daha faydalı bir yöntem olarak değerlendirilebilir. [9][10][11] Transoral robotik cerrahinin onkolojik sonuçlarının iyi olduğu ve morbiditeyi sınırladığı literatürde çeşitli çalışmalarla ortaya konmuştur. [17] Moore ve ark.…”

Section: Discussionunclassified

“…[8,9] Amerikan Gıda ve İlaç Dairesi (USFDA) 2010 yılında yetişkinlerde oral kavite, orofarenks, farenks ve larenksin benign ve malign lezyonlarında TORC'un kullanımını onaylamıştır. [10] Transoral robotik cerrahi ile; glottik/supraglottik tümörler (T 1 , T 2 ) seçilmiş orofarengeal tümörler; (T 1 , T 2 , T 3 , T 4 ) ameliyat edilebilir. [11][12][13] Kliniğimizde 2010 yılından beri 200'ün üzerinde başarılı TORC ameliyatı gerçekleştirildi.…”

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“…Mikroskopik larengeal cerrahi (MLC) ile yapılan biyopsi sonucu YHK saptanan hastalar daha önceki yayınlarda belirtilen TORC endikasyon kriterlerine göre değerlendirildi. [9][10][11] Vena kava inferior invazyonu, karotis invazyonu, T 4b tümör, orofarenksten posterior farengeal duvarın orta hattına kadar yayılan tümör-ler, prevertebral fasya invazyonu, derin dil kaslarının %50'den fazla invazyonu, rezeke edilemeyecek nodal metastazı olan tümörler TORC için kontredikasyon olarak kabul edildi.…”

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The incidence of human papillomavirus in patients with the head and neck squamous cell carcinoma treated by transoral robotic surgery

Altıntaş¹

2016

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ÖZAmaç: Bu çalışmada, baş boyun yassı hücreli karsinom (YHK) tanısı ile transoral robotik cerrahi (TORC) uygulanan hastalarda human papilloma virüs (HPV) insidansı araştırıldı. ABSTR ACTObjectives: This study aims to assess the incidence of human papillomavirus (HPV) in patients with squamous cell carcinoma (SCC) of the head and neck treated by transoral robotic surgery (TORS). Patients and Methods:Between December 2009 and March 2013, a total of 30 patients with larynx (n=24), oral cavity and oropharyngeal SCC (n=6) (28 males, 2 females; mean age 66.4±13.5 years; range 41 to 77 years) who had been treated by TORS at our clinic were included in this study. The paraffin blocks of the pathological specimens taken from the patients were immunohistochemically stained with appropriate paint for specific HPV serotypes and were examined by light microscopy. The staining results were regarded as positive and negative. Results:No staining was detected in any of the patients included in this study to make us think of the presence of HPV. Conclusion:Future studies with larger number of patients should be done to explore the presence and the role of HPV in the etiology of the SCC of the head and neck.

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The incidence of human papillomavirus in patients with the head and neck squamous cell carcinoma treated by transoral robotic surgery

Altıntaş¹

2016

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“…Of the total patients, 90.9% stated voice and swallowing functions to be satisfying. In the TRS series of Kayhan et al (28) on 13 patients with T1-T2 supraglottic cancer, they reported that the average blood loss was below 40 mL in addition to the advantages of the short length of transition to oral feeding, short length of hospitalization, and no need for tracheotomy. In literature, local control rates after TRS supraglottic laryngectomy are reported to range between 80% and 100% (29)(30)(31)(32).…”

Section: Clinical and Research Impactsmentioning

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Minimally Invasive Procedures for Laryngeal Carcinoma: Transoral Endoscopic Laser and Transoral Robotic Surgery

Topal¹

2017

Turk Arch Otorhinolaryngol

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Open partial or total laryngectomies with or without radiotherapy (RT) or chemoradiotherapy (CRT) are the only mainstays in the treatment of laryngeal carcinomas. However, minimally invasive procedures such as transoral endoscopic carbondioxide laser microsurgery (TLM) or transoral robotic surgeries (TRS) are now being increasingly used in selected patients. The laryngeal framework is not disturbed in these procedures; therefore, the postoperative swallowing function improves more rapidly, and routine tracheotomy is not usually required. Moreover, they have oncological results comparable with open procedures.

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“…Cerrahi robotun kollarına yerleştirilen yüksek çözünürlüklü lensler, 540 derece hareket kabiliyetine sahip insan elinin rotatuar hareketlerini taklit edebilen, 5 ila 8 mm büyüklüğündeki enstrümanlar sayesinde hedeflenen cerrahi daha başarılı bir şekilde gerçekleştirilebilmektedir. [4] Baş boyun kanserli olgularda TORC'un cerrahi yön-tem olarak seçildiği hastalıkların başında orofarengeal, hipofarengeal, nazofarengeal ve larengeal tümörler sayı-labilir. Her geçen gün TORC'un yeni uygulamaları bildirilmektedir.…”

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A postoperative evaluation of patients with head and neck cancer undergoing transoral robotic surgery in terms of nursing care

Kasap¹

2017

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Amaç: Bu çalışmada da Vinci robotik cerrahi sistemi ile transoral robotik cerrahi (TORC) uygulanan baş boyun kanserli hastalar ameliyat sonrası hemşirelik bakımı açısından değerlendirildi ve robotik cerrahinin avantaj ve dezavantajları incelendi. Bulgular: Supraglottik parsiyel larenjektomi yapılan yalnızca üç hastada nefes darlığı ve trakeotomi gereksinimi oldu. Hastaların hiçbirinde yaşamı tehdit eden ameliyat sonrası kanama görülmedi. Hastanede kalış süresi ortalama dört gün idi. Oral beslenmeye başlama süresi ortalama 1.7 gün (dağılım 1-2), konuşmaya başlama süresi ise ortalama 1.4 gün (dağılım 1-2) idi. Sonuç: Çalışma bulgularımız TORC'un daha iyi ameliyat sonrası hasta konforu, daha az trakeotomi ihtiyacı, yara bakımına gereksinim olmaması, günlük aktivitelere kısa sürede dönüş, düşük enfeksiyon riski, yutkunma ve konuşmanın kısa sürede kazanılması ve daha kısa hastanede yatış süresi ile açık cerrahi tekniklerden üstün olduğunu göstermektedir. Hastalar veAnahtar sözcükler: Bakım; hemşirelik; transoral robotik cerrahi. ABSTR ACTObjectives: This study aims to postoperatively assess the patients with head and neck cancer undergoing transoral robotic surgery (TORS) using the da Vinci robotic surgery system in terms of nursing care and to review possible advantages and disadvantages of robotic surgery. Patients and Methods:A total of 56 patients (52 males, 4 females; mean age 47.5 years; range 40 to 54 years) with head and neck cancer who were admitted to Otolaryngology and Head and Neck Surgery clinic of Dr. Sadi Konuk Training and Research Hospital between June 2010 and June 2014 and were operated with TORS using the da Vinci robotic surgery system were retrospectively analyzed. Using the patient files, data including pre-and postoperative clinical features and complications were recorded.Results: Dyspnea and need for tracheotomy were only observed in three patients who underwent supraglottic partial laryngectomy. None of the patients had a life-threatening postoperative bleeding. The mean length of hospital stay was four days. The mean time to initiation of oral feeding was 1 to 7 days (range 1 to 2), while time to speech production was 1.4 days (range 1 to 2). Conclusion:Our study results show that TORS is superior to open surgical techniques with improved postoperative patient comfort, less need for tracheotomy, no need for wound care, early return to daily activity, low risk of infection, early regain of swallowing and speech, and shorter hospital stay.

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Transoral Robotic Supraglottic Partial Laryngectomy

Abstract: Transoral robotic supraglottic laryngectomy with the da Vinci robotic system can be regarded as a feasible, safe, and effective technique. Although short-term results seem discouraging, long-term results are needed to evaluate the oncologic safety.

Cited by 27 publications

References 12 publications

The incidence of human papillomavirus in patients with the head and neck squamous cell carcinoma treated by transoral robotic surgery

The incidence of human papillomavirus in patients with the head and neck squamous cell carcinoma treated by transoral robotic surgery

Minimally Invasive Procedures for Laryngeal Carcinoma: Transoral Endoscopic Laser and Transoral Robotic Surgery

A postoperative evaluation of patients with head and neck cancer undergoing transoral robotic surgery in terms of nursing care

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