Transoral robotic surgery for recurrent or residual head and neck cancers: a prospective study of feasibility and functional outcomes

2015 ◽  
Vol 221 (4) ◽  
pp. e135 ◽  
Author(s):  
Himanshu Shukla ◽  
Surender Dabas ◽  
Anant Dinesh ◽  
Reetesh Ranjan
Keyword(s):  
Robotic Surgery ◽  
Prospective Study ◽  
Head And Neck ◽  
Functional Outcomes ◽  
Transoral Robotic Surgery ◽  
Head And Neck Cancers ◽  
A Prospective Study ◽  
Residual Head

Functional Outcomes after Transoral Robotic Surgery for Head and Neck Cancer

2009 ◽  
Vol 141 (2) ◽  
pp. 166-171 ◽  
Author(s):  
Tim A. Iseli ◽  
Brian D. Kulbersh ◽  
Claire E. Iseli ◽  
William R. Carroll ◽  
Eben L. Rosenthal ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Robotic Surgery ◽  
Head And Neck ◽  
Neck Cancer ◽  
Functional Outcomes ◽  
Case Series ◽  
Feeding Tube ◽  
Transoral Robotic Surgery ◽  
T Stage ◽  
Increased Risk

OBJECTIVE: To evaluate functional outcomes following transoral robotic surgery for head and neck cancer. STUDY DESIGN: Case series with planned data collection. SETTING: Academic hospital. SUBJECTS AND METHODS: Between March 2007 and December 2008, 54 of 62 candidate patients underwent transoral robotic tumor resection. Outcomes include airway management, swallowing (MD Anderson Dysphagia Inventory), and enterogastric feeding. RESULTS: Tumors were most commonly oropharynx (61%) or larynx (22%) and T1 (35%) or T2 (44%). Many received radiotherapy (22% preoperatively, 41% postoperatively) and chemotherapy (31%). Endotracheal intubation was retained (22%) for up to 48 hours, tracheostomy less frequently (9%), and all were decannulated by 14 days. Most commenced oral intake prior to discharge (69%) or within two weeks (83%). A worse postoperative Dysphagia Inventory score was associated with retained feeding tube ( P = 0.020), age >60 ( P = 0.017), higher T stage ( P = 0.009), laryngeal site ( P = 0.017), and complications ( P = 0.035). At a mean 12 months' follow-up, 17 percent retained a feeding tube (9.5% among primary cases). Retained feeding tube was associated with preoperative tube requirement ( P = 0.017), higher T stage ( P = 0.043), oropharyngeal/laryngeal site ( P = 0.034), and recurrent/second primary tumor ( P = 0.008). Complications including airway edema (9%), aspiration (6%), bleeding (6%), and salivary fistula (2%) were managed without major sequelae. CONCLUSION: Transoral robotic surgery provides an emerging alternative for selected primary and salvage head and neck tumors with low morbidity and acceptable functional outcomes. Patients with advanced T stage, laryngeal or oropharyngeal site, and preoperative enterogastric feeding may be at increased risk of enterogastric feeding and poor swallowing outcomes.

Transoral Robotic Surgery using the Thulium-YAG Laser: A Prospective Study

2011 ◽  
Vol 121 (S5) ◽  
pp. S297-S297
Author(s):  
Kathryn M. Van Abel ◽  
Eric J. Moore ◽  
Matthew L. Carlson ◽  
Jennifer A. Davidson ◽  
Jaoquin J. Garcia ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
Prospective Study ◽  
Transoral Robotic Surgery ◽  
Yag Laser ◽  
A Prospective Study

scholarly journals Robotic surgery of head and neck cancers, a narrative review

2020 ◽  
Vol 30 (2) ◽  
pp. 297-303
Author(s):  
Farbood Kalantari ◽  
Shahin Rajaeih ◽  
Ali Daneshvar ◽  
Zahra Karbasi ◽  
Mohammad Mahdi Salem
Keyword(s):  
Quality Of Life ◽  
Robotic Surgery ◽  
Head And Neck ◽  
Neck Cancer ◽  
Transoral Robotic Surgery ◽  
The Body ◽  
Head And Neck Cancers ◽  
Organ Function ◽  
Advantages And Disadvantages

Head and neck cancers are the most common cancers in the body. Treatments are determined on the basis of the location and stage of the primary tumor. The goal of treatment is to eliminate the tumor, prevent recurrence or metastasis, and maintain the quality of life. There are several treatments available for the management of head and neck cancers, including surgery, radiation therapy, chemotherapy, new molecular agents, and a combination of them. Transoral robotic technique is a short-time operation using a type of robotic machine in which the patient undergoes anesthesia for a shorter time and the side effects of this operation and the time of hospitalization are less than open surgery. Due to the importance of speed and accuracy in head and neck cancer surgery and the importance of application of robotics in surgery, the present study was designed and implemented to review the application of robotics in the management of head and neck cancers. In this review study, the keywords: application, robotic, surgical, head cancer, transoral robotic surgery (TORS), and neck cancer, were searched in ISI, PubMed, Scopus, Google scholar databases. Related articles written domestically or abroad that have covered areas such as the background of transoral robotic surgery, maintaining organ function and approaches, the advantages and disadvantages of TORS, the affordability of TORS, the combination of TORS with other therapeutic approaches published from 2003 to 2019 were reviewed. The use of robotic surgery for precise operations such as head and neck cancers seems to be essential. More advanced robotic devices are expected to expand the surgery treatment for head and neck cancers as well as the results of using TORS for oncologic optimization and acceptability of results while maintaining organ function and patient's quality of life.

scholarly journals Robotic surgery of head and neck cancers, a narrative review

2020 ◽  
Author(s):  
Farbood Kalantari ◽  
Shahin Rajaeih ◽  
Ali Daneshvar ◽  
Zahra Karbasi ◽  
Mohammad Mahdi Salem
Keyword(s):  
Quality Of Life ◽  
Robotic Surgery ◽  
Head And Neck ◽  
Neck Cancer ◽  
Transoral Robotic Surgery ◽  
The Body ◽  
Head And Neck Cancers ◽  
Organ Function ◽  
Advantages And Disadvantages

Head and neck cancers are the most common cancers in the body. Treatments are determined on the basis of the location and stage of the primary tumor. The goal of treatment is to eliminate the tumor, prevent recurrence or metastasis, and maintain the quality of life. There are several treatments available for the management of head and neck cancers, including surgery, radiation therapy, chemotherapy, new molecular agents, and a combination of them. Transoral robotic technique is a short-time operation using a type of robotic machine in which the patient undergoes anesthesia for a shorter time and the side effects of this operation and the time of hospitalization are less than open surgery. Due to the importance of speed and accuracy in head and neck cancer surgery and the importance of application of robotics in surgery, the present study was designed and implemented to review the application of robotics in the management of head and neck cancers. In this review study, the keywords: application, robotic, surgical, head cancer, transoral robotic surgery (TORS), and neck cancer, were searched in ISI, PubMed, Scopus, Google scholar databases. Related articles written domestically or abroad that have covered areas such as the background of transoral robotic surgery, maintaining organ function and approaches, the advantages and disadvantages of TORS, the affordability of TORS, the combination of TORS with other therapeutic approaches published from 2003 to 2019 were reviewed. The use of robotic surgery for precise operations such as head and neck cancers seems to be essential. More advanced robotic devices are expected to expand the surgery treatment for head and neck cancers as well as the results of using TORS for oncologic optimization and acceptability of results while maintaining organ function and patient's quality of life.

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