Transoral Robotic Supraglottic Laryngectomy

Abstract

Öz amaç:Transoral robotik cerrahi (TORC) supraglottik larenks kanserlerinin endolarengeal tedavisinde minimal invaziv yeni bir yöntemdir. Çalışmanın amacı transoral robotik supraglottik larenjektomi uyguladığımız iki hastadaki ilk tecrübelerimizi paylaşmaktır. Gereç ve Yöntemler:Erken evre (T1-2) supraglottik kanserli iki hasta TORC için seçildi. Hastaların preoperatif, intraoperatif ve postoperatif yönetimi literatür derlemesi eşliğinde sunuldu. Material and Methods:Two patients with early stage (T1-2) supraglottic cancer were selected for TORS. The preoperative, intraoperative and postoperative management of patients were presented with a literature review.Results: Laryngeal tumor tissue was resected en bloc with negative surgical margins in both patients. Patients were extubated on postoperative day one. They were decannulated and started to be fed orally on postoperative day seven. Swallowing functions were recovered completely on postoperative day 10. No perioperative or postoperative complications were observed.The first case was discharged uneventfully on postoperative day 20, and the second case on postoperative day 14. Conclusion:Transoral robotic supraglottic laryngectomy is a safe and effective treatment choice in well-selected patients with supraglottic larynx cancer. Further trials with a larger cohort of patients are needed for evaluation of long-term functional and oncological outcomes.