Minimally invasive neck surgery. Surgical feasibility and physiological effects of carbon dioxide insufflation in a unilateral subplatysmal approach

Keßler, Peter; Bumiller, Lars; Kroczek, A.; Keßler, Hermann; Birkholz, Torsten

doi:10.1016/j.ijom.2009.02.025

Cited by 5 publications

(3 citation statements)

References 25 publications

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“…Minimally invasive head and neck surgery has proved to be useful in the excision of benign lesions including submandibular masses, branchiogenic cysts, frontal tumors, frontozygomatic cysts, and epidermoid nasal cysts19, 20 and recently has evolved to be demonstrably feasible and safe with outcomes similar to those of conventional procedures for malignant disease 21. Unilateral endoscopic selective22 (less than five neck levels removed) neck dissections have been successfully performed in live pigs with23 and without24 carbon dioxide insufflation. For benign parotid masses amenable to extracapsular dissection, the standard modified Blair incision can be replaced with a minimally invasive retroauricular hairline incision without compromise of surgical visualization 25…”

Section: Introductionmentioning

confidence: 99%

Neck dissection through a facelift incision

Melvin¹,

Eliades²,

Ha³

et al. 2012

The Laryngoscope

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Obectives/Hypothesis To determine the feasibility and safety of neck dissection through a facelift incision. Study Design Prospective case series. Methods Cadavers and live subjects underwent neck dissection using a facelift incision with and without endoscopic assistance. In the live facelift neck dissection (FLND), the preoperative surgical indications, staging, adjuvant therapy, intraoperative technical procedure, pathology reports on lymph nodes, and short-term outcomes were reviewed. Results FLND was successfully performed in four cadavers and four live subjects, including selective (less than five neck levels removed) and comprehensive (levels I–V removed) neck dissections. All levels were accessible through this approach, with additional retraction required for levels I and IV. Endoscopic assistance was required in one neck dissection for adequate visualization. Short-term complications and number of excised lymph nodes were comparable to those from traditional neck dissection approaches. Conclusions Open neck dissection through a facelift incision is feasible and offers an alternate approach to traditional incisions. This can be performed without requiring robotic assistance and with endoscopic assistance only in certain cases. Endoscopic assistance can offer enhanced visualization of the surgical field and complement open direct approaches in neck dissection. Although FLND offers improved cosmetic outcomes when compared to those of traditional neck incisions, further study is required to determine its efficacy and indications.

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Section: Introductionmentioning

confidence: 99%

Neck dissection through a facelift incision

Melvin¹,

Eliades²,

Ha³

et al. 2012

The Laryngoscope

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show abstract

“…Kessler et al [22] describe their experiences with patients with an insufflating technique after having trained the procedure on 4 pigs and 4 cadavers. After preparing the pigs and cadavers through an inferior lateral approach above the clavicle lateral to the sternal notch 3 ports are inserted after insufflating the submuscular plane.…”

Section: Minimally Invasive Surgery Of the Submandibular Glandmentioning

confidence: 99%

The endoscopic approach to the Neck: A review of the literature, and overview of the various techniques

et al. 2010

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With a good proof of indication gasless lifting techniques, video assisted endoscopical techniques and subcutaneous approaches with gas filling procedures are feasible in neck surgery. All methods depending on the surgeons' experience describe no significantly extended operation times, a better and faster wound-healing and an optimized cosmetic outcome, compared to open approaches. Surgeons should always be aware of the limitations of the minimal invasive techniques regarding the complications or modifications during neck dissection/thyroidectomy.

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“…Since then, various surgical techniques of minimally invasive video‐assisted thyroidectomy (MIVAT) have been introduced as promising substitutes for conventional open thyroidectomy and formed the basis for endoscopic neck surgery . Later on, many surgeons adopted this concept to the resection of submandibular gland (SMG) either with or without gas insufflation . Reports on minimally invasive approach for neck dissection were relatively few in the medical literature with limited experience on experimental animal models and cadaveric studies .…”

Section: Introductionmentioning

confidence: 99%

The new era of robotic neck surgery: The universal application of the retroauricular approach

Byeon

Koh

2015

Journal of Surgical Oncology

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Recent advances in technology has triggered the introduction of surgical robotics in the field of head and neck surgery and changed the landscape indefinitely. The advent of transoral robotic surgery and robotic thyroidectomy techniques has urged the extended applications of the robot to other neck surgeries including remote access surgeries. Based on earlier reports and our surgical experiences, this review will discuss in detail various robotic head and neck surgeries via retroauricular approach.

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Minimally invasive neck surgery. Surgical feasibility and physiological effects of carbon dioxide insufflation in a unilateral subplatysmal approach

Cited by 5 publications

References 25 publications

Neck dissection through a facelift incision

Neck dissection through a facelift incision

The endoscopic approach to the Neck: A review of the literature, and overview of the various techniques

The new era of robotic neck surgery: The universal application of the retroauricular approach

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