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Clinical outcomes of transoral robotic surgery for head and neck tumors

Authors
 Young Min Park  ;  Won Shik Kim  ;  Hyung Kwon Byeon  ;  Armando De Virgilio  ;  Sei Young Lee  ;  Se-Heon Kim 
Citation
 ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, Vol.122(2) : 73-84, 2013 
Journal Title
ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY
ISSN
 0003-4894 
Issue Date
2013
MeSH
Adult ; Aged ; Equipment Design ; Feasibility Studies ; Female ; Follow-Up Studies ; Head and Neck Neoplasms/surgery* ; Humans ; Male ; Middle Aged ; Mouth ; Natural Orifice Endoscopic Surgery/instrumentation* ; Prospective Studies ; Robotics/instrumentation* ; Treatment Outcome ; Young Adult
Keywords
head and neck neoplasm ; minimally invasive surgical procedure ; robotics ; transoral robotic surgery
Abstract
OBJECTIVES: In order to reduce treatment-related morbidity rates and increase patients' quality of life, robot-assisted surgery using the da Vinci surgical system (Intuitive Surgical Inc, Sunnyvale, California) has been studied actively in the field of head and neck surgery. This study analyzes our experiences therewith in order to evaluate the feasibility and efficacy of robot-assisted surgery via a transoral approach in the head and neck area.

METHODS: Between April 2008 and December 2011, 141 patients were treated with robot-assisted surgery via a transoral approach.

RESULTS: Robot-assisted surgeries were successfully completed via a transoral approach in all patients. The mean robotic operative time was 69.3 minutes, and the mean time for setup of the robotic system was 10.4 minutes. The average blood loss during the operation was 29.6 mL (range, 0 to 300 mL). Patients who underwent robot-assisted surgery were satisfied with their cosmetic results and treatment outcomes.

CONCLUSIONS: Robot-assisted surgery via a transoral approach was confirmed to be feasible and efficient in the field of head and neck surgery. Further research is needed to investigate the long-term functional and oncological results of robot-assisted surgery.
Files in This Item:
T201300308.pdf Download
DOI
23534121
Appears in Collections:
1. College of Medicine (의과대학) > Research Institute (부설연구소) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Se Heon(김세헌)
Kim, Won Shik(김원식)
Park, Young Min(박영민) ORCID logo https://orcid.org/0000-0002-7593-8461
Byeon, Hyung Kwon(변형권)
Lee, Sei Young(이세영)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/86359
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