Management and consideration of positive surgical margins in locally advanced oropharyngeal squamous cell carcinoma treated with oral robotic surgery.
10.13201/j.issn.2096-7993.2025.11.013
- Author:
Yuan HU
1
;
Xiaomeng ZHANG
1
Author Information
1. Huazhong University of Science and Technology Tongji Medical College Affiliated Union Hospital，Wuhan，430022，China.
- Publication Type:Journal Article
- Keywords:
locally advanced oropharyngeal squamous cell carcinoma;
surgical margins;
transoral robotic surgery
- MeSH:
Humans;
Robotic Surgical Procedures/methods*;
Oropharyngeal Neoplasms/surgery*;
Margins of Excision;
Carcinoma, Squamous Cell/surgery*;
Prognosis
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2025;39(11):1061-1067
- CountryChina
- Language:Chinese
-
Abstract:
Transoral Robotic Surgery （TORS） still faces several critical clinical challenges in the treatment of locally advanced oropharyngeal squamous cell carcinoma （LA-OPSCC），with core controversies focusing on the selection of surgical indications, strategies for improving the RO resection rate, and the impact of margin status on prognosis. Based on current evidence-based medical data and our team's experience with surgical difficulties encountered in TORS for LA-OPSCC, particularly regarding preoperative, intraoperative, and postoperative strategies for managing positive margins, this article systematically presents clinical insights and proposed solutions, aiming to provide valuable references for peers in diagnosis and treatment.
