Exploration of feasibility and safety of transoral robotic surgery in pharyngolaryngeal tumors
10.3760/cma.j.issn.1673-0860.2018.07.006
- VernacularTitle: 经口机器人切除咽喉肿瘤的可行性及安全性探讨
- Author:
Jugao FANG
1
,
2
;
Lingzhao MENG
2
;
Jianhong WANG
2
;
Xiandao YUAN
2
;
Yuansheng RAO
2
;
Fan YANG
2
;
Yanjun FENG
2
;
Yongxiang WEI
2
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
2. Department of Otorhinolaryngology Head and Neck Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
- Publication Type:Journal Article
- Keywords:
Otorhinolaryngologic neoplasms;
Surgical procedures, minimally invasive;
Transoral robotic surgery
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2018;53(7):512-518
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the indication, feasibility, and safety of da Vinci robotic surgical system in pharyngolaryngeal tumor resection.
Methods:Thirty patients were diagnosed with pharyngolaryngeal tumors and treated with a transoral robotic surgery (TORS) in Beijing Anzhen Hospital from June 1, 2016 through November 30, 2017. Inclusion criteria included lesions of the oropharynx (n=13), parapharyngeal space (n=7), larynx (n=6) and hypopharynx (n=4). Twenty cases were males and ten cases were females. The median age was 56 years old (ranging from 30 to 81 years).
Results:The robotic surgeries were performed successfully on 30 patients. One patient (3.3%) underwent TORS combined with a neck incision. The mean operative time was 40.7 min. The mean blood loss was 15.8 ml. The mean recovery time for oral intake was 5.3 days. The mean hospital stay was 9 days. None of the patients underwent tracheotomy or mandible split. Postoperative pathological examination showed that 18 cases (60.0%) were malignant and 1 case (5.6%) had positive surgical margin. Sixteen cases received neck dissection. No serious complications occurred during or after the operation. There was no local recurrence, metastasis or death except for regional recurrences in 2 cases (11.1%) with a follow-up of 1 to 18 months(median 13 months).
Conclusion:Transoral robotic surgery is a feasible, safe and effective surgical procedure with clear operation field, rapid surgical access, minimally invasive surgery, lesser hemorrhage, good cosmetic effect and fast recovery.
