Transoral Robotic Surgery Alone for Oropharyngeal Cancer

Abstract

As the only modality used for treatment of pathologically low-risk OSCCs, TORS provides high local control and is associated with low surgical morbidity.

The impact of treatment package time on locoregional control for HPV+ oropharyngeal squamous cell carcinoma treated with surgery and postoperative (chemo)radiation

“…Our findings suggest that in the HPV+ population, variations in package time have the greatest impact on failures in the neck, as we observed no decrement in local control with increasing package time. This observation is consistent with the observed low rate of local failure among TORS patients, including those not receiving adjuvant RT, 16 and those treated with standard adjuvant RT. 17 The reasons for this discrepancy for the effect of package time on local vs regional failures are not entirely clear, but may reflect a minimal burden of disease after TORS, or possibly because local tumor and regional nodes have a different biology, such that they are differentially affected by subsequent adjuvant radiation with or without chemotherapy.…”

Staging Neck Dissection and Transoral Robotic Surgery Treatment Algorithm in Palatine Tonsil Cancer

“…In this study, all patients were discharged home on an oral diet on POD 1. This compares quite favorably with other studies involving TORS, such as the 3.6‐day hospital stay reported by Weinstein et al 14 No one in our study experienced significant intraoperative bleeding or postoperative hemorrhage. This compares favorably with reported rates of 0% to 13% for early oropharyngeal cancer 4,15,17 …”

Outcomes of HPV + Oropharyngeal Carcinoma of Unknown Primary Following Transoral Robotic Surgery

“…The peri‐operative risk profile in this study resulted in a 6% complication rate, with postoperative oropharyngeal bleeding accounting for most cases. This rate of postoperative hemorrhage is comparable to bleed rates and re‐operation rates previously reported for TORS tonsillectomy and standard adult tonsillectomy [ 12 , 34 , 35 ].…”