Surgical and oncological outcomes of transoral robotic total laryngectomy: A case series

Hans, Stéphane; Chebib, Emilien; Chekkoury‐Idrissi, Younès; Distinguin, Léa; Circiu, Marta; Pemille, Grégoire Vialatte de; Julien-Laferriere, Aude; Crevier‐Buchman, Lise; Lechien, J

doi:10.1016/j.oraloncology.2021.105511

Cited by 8 publications

(6 citation statements)

References 14 publications

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“…Its theoretical advantages are the preservation of pre-laryngeal soft tissue and muscle, which could decrease the risk of fistula and avoid the need for flap coverage. Its main drawbacks are the difficult exposure and the extended operative time, estimated around 300 min in the largest series published [ 68 ]. Its indications are restricted to situations where a neck dissection is not indicated, i.e., selected cases of salvage laryngectomy for small endolaryngeal tumors, a nonfunctional larynx, or histologies with limited potential for lymphatic spread, e.g., chondrosarcoma and adenoid cystic carcinoma [ 4 ].…”

Section: Tors Applications In Hncmentioning

confidence: 99%

“…Its indications are restricted to situations where a neck dissection is not indicated, i.e., selected cases of salvage laryngectomy for small endolaryngeal tumors, a nonfunctional larynx, or histologies with limited potential for lymphatic spread, e.g., chondrosarcoma and adenoid cystic carcinoma [ 4 ]. For all these reasons, only five case series of TORS total laryngectomy have been published until today [ 68 , 69 , 70 , 71 , 72 ].…”

Section: Tors Applications In Hncmentioning

confidence: 99%

“…Two fistulas (20%) and one minor postoperative hemorrhage occurred. Time to oral feeding resumption ranged from 6 to 24 days [ 68 ]. The small size of published cohorts prevents drawing a clear comparison with the standard of care.…”

Section: Tors Applications In Hncmentioning

confidence: 99%

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Transoral Robotic Surgery for Head and Neck Cancer: Advances and Residual Knowledge Gaps

Mella

Chabrillac

Dupret‐Bories

et al. 2023

JCM

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Minimally invasive surgery is a growing field in surgical oncology. After acquiring its first Food and Drug Administration approval in 2009 for T1–T2 malignancies of the oral cavity, oropharynx, and larynx, transoral robotic surgery (TORS) has gained popularity thanks to its wristed instruments and magnified three-dimensional view, enhancing surgical comfort in remote-access areas. Its indications are expanding in the treatment of head and neck cancer, i.e., resection of tumors of the larynx, hypopharynx, or parapharyngeal space. However, this expansion must remain cautious and based on high-level evidence, in order to guarantee safety and oncological outcomes which are comparable to conventional approaches. This narrative review assesses the current role of TORS in head and neck cancer from an evidence-based perspective, and then identifies what knowledge gaps remain to be addressed.

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Section: Tors Applications In Hncmentioning

confidence: 99%

Section: Tors Applications In Hncmentioning

confidence: 99%

See 1 more Smart Citation

Transoral Robotic Surgery for Head and Neck Cancer: Advances and Residual Knowledge Gaps

Mella

Chabrillac

Dupret‐Bories

et al. 2023

JCM

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“…At that time, authors concluded that this approach was especially appropriate for patients undergoing salvage laryngectomy after radiation failure. Since then, only four small cohort studies including few cases were conducted, which preclude drawing any clear conclusion [ 49 , 50 , 51 , 52 ]. Overall, TORS total laryngectomy appears to be safe and effective, but its exact indications and limitations are not yet defined.…”

Section: Transoral Robotic Surgerymentioning

confidence: 99%

“…Note that the procedure takes time, which is probably its primary limitation. The voice rehabilitation of patients benefiting from TORS total laryngectomy could be comparable with the postoperative outcomes of open total laryngectomy, but future controlled studies are needed [ 52 ].…”

Section: Transoral Robotic Surgerymentioning

confidence: 99%

Laryngeal Cancer Surgery: History and Current Indications of Transoral Laser Microsurgery and Transoral Robotic Surgery

Hans

Baudouin

Circiu

et al. 2022

JCM

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The development of transoral laser microsurgery (TLM) was an important step in the history of conservative laryngeal surgery. TLM reported comparable oncological outcomes and better functional postoperative and rehabilitation outcomes than open partial laryngectomy. TLM is currently considered as the standard surgical approach for early-stage laryngeal carcinoma. However, TLM has many limitations, including the limited view of the surgical field through the laryngoscope, exposure difficulties for some tumor locations, and a long learning curve. The development of transoral robotic surgery (TORS) appears to be an important issue to overcome these limitations. The current robotic technologies used in surgery benefited from the research of the U.S. Military and National Aeronautics and Space Administration (NASA) in the 1970s and 1980s. The first application in humans started in the 2000s with the first robotic-assisted cholecystectomy in the US, performed by a surgeon located in France. The use of robots in otolaryngology occurred after the development of the Da Vinci system in digestive surgery, urology, and gynecology, and mainly concerns cT1-T2 and some selected cT3 oropharyngeal and supraglottic carcinomas. With the development of a new robotic system with smaller arms and instruments, TORS indications will probably evolve in the next few years, leading to better outcomes for laryngeal or hypopharyngeal carcinomas.

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Robotic and endoscopic trans-oral total laryngectomy, a systematic review and meta-analysis

Tumlin,

Dugan,

Hassid

et al. 2024

J Robotic Surg

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Surgical and oncological outcomes of transoral robotic total laryngectomy: A case series

Cited by 8 publications

References 14 publications

Transoral Robotic Surgery for Head and Neck Cancer: Advances and Residual Knowledge Gaps

Transoral Robotic Surgery for Head and Neck Cancer: Advances and Residual Knowledge Gaps

Laryngeal Cancer Surgery: History and Current Indications of Transoral Laser Microsurgery and Transoral Robotic Surgery

Robotic and endoscopic trans-oral total laryngectomy, a systematic review and meta-analysis

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