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Feasibility of transoral lateral oropharyngectomy using a robotic surgical system for tonsillar cancer

Authors
 Young Min Park  ;  Jeong Gwon Lee  ;  Won Sang Lee  ;  Eun Chang Choi  ;  Sa Myung Chung  ;  Se-Heon Kim 
Citation
 ORAL ONCOLOGY, Vol.45(8) : 62-66, 2009 
Journal Title
 ORAL ONCOLOGY 
ISSN
 1368-8375 
Issue Date
2009
MeSH
Adenocarcinoma/surgery* ; Adult ; Aged ; Carcinoma, Squamous Cell/surgery* ; Endoscopy ; Feasibility Studies ; Female ; Humans ; Imaging, Three-Dimensional ; Intraoperative Complications/prevention & control* ; Male ; Middle Aged ; Oropharynx/surgery ; Pharyngectomy/instrumentation ; Pharyngectomy/methods* ; Prospective Studies ; Robotics/instrumentation* ; Tonsillar Neoplasms/surgery* ; Treatment Outcome
Keywords
Tonsillar neoplasm ; Robotics ; Oropharyngectomy
Abstract
Conventional surgical approaches for tonsillar carcinomas have a great risk for developing treatment-related morbidity. To minimize this morbidity, transoral lateral oropharyngectomy (TLO) using the robotic surgical system was performed, and the efficacy and feasibility of this procedure was evaluated. TLO was performed using the da Vinci surgical robot (Intuitive Surgical, Inc., Sunnyvale, CA). It consists of a surgeon's console and a manipulator cart equipped with three robotic arms. The surgeon is provided with three-dimensional magnified images from the endoscopic arm and can control two instrument arms for delicate operations from the console. Safe resection of tonsillar carcinoma was possible with the three-dimensional magnified images. When proceeding with resection of the buccopharyngeal fascia, we could prevent damage to the carotid artery, which is located posterolateral to the tonsillar fossa, since the joint at the distal part of the robotic arm can be bent freely from side to side. By using the 30 degrees endoscope, we can achieve a better surgical view of the base of the tongue area. TLO was performed successfully in all five patients without surgical complications. The mean operating time was 44 min, and an average of 19 min was required for setting up the robotic system. TLO using the robotic system will be a good option for organ preservation therapy in the treatment of carcinomas of the tonsil and the tonsillar fossa in the future
Full Text
http://www.sciencedirect.com/science/article/pii/S1368837509000505
DOI
10.1016/j.oraloncology.2009.02.012
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Se Heon(김세헌)
Park, Young Min(박영민) ORCID logo https://orcid.org/0000-0002-7593-8461
Lee, Won Sang(이원상)
Lee, Jeung Gweon(이정권)
Choi, Eun Chang(최은창)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/104487
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