Clinical outcomes of transoral robotic supraglottic laryngectomy

Özer, Enver; Alvarez, Bianca; Kakarala, Kiran; Durmuş, Kasım; Teknos, Theodoros N.; Carrau, Ricardo L.

doi:10.1002/hed.23101

Cited by 81 publications

(73 citation statements)

References 44 publications

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“…Negative margins were obtained in all patients and no local recurrences on 2-year follow-up. Ozer and colleagues report largely similar results in a series of 13 patients [ 20 ]. All achieved negative margins but one patient required conversion to an open approach due to extensive pre-epiglottic space invasion (Fig.…”

Section: Laryngologymentioning

confidence: 59%

“…An elective perioperative tracheostomy rate of 12.4 % was encountered while only a total of four patients (2.3 %) remained with a tracheostomy at 12 months follow up. For patients undergoing primary TORS treatment, a gastrostomy dependency [ 20 ] of 5 % was encountered. Positive surgical margins were noted in 3.8 % of patients with oropharyngeal tumors, a rate that the authors feel compares favorably with other transoral or open techniques.…”

Section: Head and Neck Surgerymentioning

confidence: 99%

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History and Overview of Robotic Surgery in Otolaryngology—Head and Neck Surgery

Yarlagadda

Russell

Grillone

2014

Robotic Surgery of the Head and Neck

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Section: Laryngologymentioning

confidence: 59%

Section: Head and Neck Surgerymentioning

confidence: 99%

History and Overview of Robotic Surgery in Otolaryngology—Head and Neck Surgery

Yarlagadda

Russell

Grillone

2014

Robotic Surgery of the Head and Neck

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“…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). The robotic approach is used as an alternative to TLM also in early-stage glottic cancers (33).…”

Section: Clinical and Research Impactsmentioning

confidence: 99%

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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“…There has been an increasing concern to reduce morbidity (without jeopardizing oncological safety) and to improve quality of life and patient satisfaction. In recent years, there has been notable progress in minimally invasive video-assisted surgeries associated or not with technological equipment, such as laser and motorized instruments, which could facilitate these procedures (13)(14)(15).…”

mentioning

confidence: 99%

Safe implementation of retroauricular robotic and endoscopic neck surgery in South America

2017

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Epidemiology and risk factors for head and neck cancerCancer is currently a health problem worldwide. Considering all ages, it is the second largest cause of death in the population, falling behind only cardiovascular Abstract: In the last three decades, otolaryngology and head and neck oncological surgery have shown remarkable progress with the development of several modalities of endoscopic-assisted minimally invasive surgeries. More recently, the Da Vinci robotic surgery system has promoted the development of several surgical approaches with less morbidity and better cosmetic results, including the transaxillary and retroauricular approaches for thyroid surgery and neck dissections. In South America, there are several shortcomings regarding financial resources as well as the lack of support for innovation leading to a significant delay in adoption of numerous technological advances in medical practice. Despite these obstacles, we obtained training in transoral robotic surgery and neck procedures, and then decided to implement neck endoscopic and robotic surgery at our institution. We developed a collaborative training program with Yonsei University that, together with several local measures, allowed for a safe implementation. From June 2014 to December 2016, we have performed a total of 121 retroauricular neck surgeries, of which 65 were roboticassisted and 56 were endoscopic assisted procedures, with a complication rate that seems to be comparable to conventional procedures in our experience and a smooth learning curve. Safety compliance has been continuously assessed. Aiming to develop and disseminate these techniques, we have ongoing collaborative work with Yonsei University faculty, to continue increasing our clinical experience, and we are now preparing the group and infrastructure to establish a local training program for South American surgeons.We have been presenting our results at national and international medical meetings and started to publish the preliminary results in peer reviewed medical journals. The emphasis is that a retroauricular approach is a therapeutic option to be considered, especially for young patients. Media exposure has been avoided so far. As expected, resistance by our peers is still present and much more work is needed to overcome it, including the generation of data on the outcomes and a critical analysis of the advantages and disadvantages of endoscopic and robotic neck surgery.

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Clinical outcomes of transoral robotic supraglottic laryngectomy

Abstract: In this preliminary study, TORS supraglottic laryngectomy was a safe procedure with good functional outcomes.

Cited by 81 publications

References 44 publications

History and Overview of Robotic Surgery in Otolaryngology—Head and Neck Surgery

History and Overview of Robotic Surgery in Otolaryngology—Head and Neck Surgery

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

Safe implementation of retroauricular robotic and endoscopic neck surgery in South America

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