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Feasibility of robot-assisted neck dissection followed by transoral robotic surgery

 H.K. Byeon  ;  F.C. Holsinger  ;  D.H. Kim  ;  J.W. Kim  ;  J.H. Park  ;  Y.W. Koh  ;  E.C. Choi 
 British Journal of Oral & Maxillofacial Surgery, Vol.53(1) : 68-73, 2015 
Journal Title
 British Journal of Oral & Maxillofacial Surgery 
Issue Date
Adult ; Aged ; Aged, 80 and over ; Airway Management/methods ; Carcinoma, Squamous Cell/surgery ; Endoscopy/methods ; Esthetics ; Feasibility Studies ; Female ; Head and Neck Neoplasms/surgery* ; Humans ; Hypopharyngeal Neoplasms/surgery ; Intraoperative Complications ; Intubation, Gastrointestinal/methods ; Laryngeal Neoplasms/surgery ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures/methods ; Mouth/surgery* ; Mouth Neoplasms/surgery ; Neck Dissection/methods* ; Operative Time ; Oropharyngeal Neoplasms/surgery ; Patient Satisfaction ; Robotic Surgical Procedures/methods* ; Tracheotomy/methods ; Treatment Outcome
Head and neck cancer ; Minimally invasive surgery ; Remote access ; Robot-assisted neck dissection ; Transoral robotic surgery
Our aim was to evaluate the feasibility of robot-assisted neck dissection (RAND) followed by transoral robotic surgery (TORS) in treatment of cancers of the head and neck, which is expected to improve cosmesis and function. We studied 37 patients with biopsy-confirmed cNO or cN+ tumours of the oropharynx (n=22), hypopharynx (n=8), larynx (n=6), and oral cavity (n=1) who were treated by RAND then TORS from May 2010 to December 2012. Patients' characteristics and clinical details were recorded, together with operative complications and functional variables such as management of the airway and nasogastric or enterogastric feeding. All endoscopic TORS and RAND were successful, with no serious intraoperative complications or need to convert to open operation. All patients were satisfied with the cosmesis according to the answers given to a questionnaire. RAND followed by TORS in some cancers of the head and neck are feasible and showed a clear cosmetic benefit, although the longer operating time is a drawback. Studies of more patients with longer follow-up are required to evaluate long-term oncological and functional outcomes in more detail.
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1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kho, Yoon Woo(고윤우)
Byeon, Hyung Kwon(변형권)
Choi, Eun Chang(최은창)
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