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Transoral Robotic Retropharyngeal Lymph Node Dissection With or Without Lateral Oropharyngectomy

Authors
 Hyung Kwon Byeon  ;  Umamaheswar Duvvuri  ;  Won Shik Kim  ;  Young Min Park  ;  Hyun Jun Hong  ;  Yoon Woo Koh  ;  Eun Chang Choi 
Citation
 JOURNAL OF CRANIOFACIAL SURGERY, Vol.24(4) : 1156-1161, 2013 
Journal Title
JOURNAL OF CRANIOFACIAL SURGERY
ISSN
 1049-2275 
Issue Date
2013
MeSH
Adult ; Aged ; Carcinoma, Squamous Cell/secondary* ; Carcinoma, Squamous Cell/surgery* ; Female ; Head and Neck Neoplasms/secondary* ; Head and Neck Neoplasms/surgery* ; Humans ; Hypopharyngeal Neoplasms/pathology* ; Hypopharyngeal Neoplasms/secondary ; Hypopharyngeal Neoplasms/surgery* ; Lymph Node Excision/methods* ; Lymph Nodes/pathology* ; Lymph Nodes/surgery ; Lymphatic Metastasis ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures/methods ; Oropharyngeal Neoplasms/pathology* ; Oropharyngeal Neoplasms/secondary ; Oropharyngeal Neoplasms/surgery* ; Retrospective Studies ; Robotic Surgical Procedures/methods*
Keywords
Transoral robotic surgery ; retropharyngeal lymph node dissection ; minimally invasive surgery ; oropharyngeal and hypopharyngeal carcinoma
Abstract
Retropharyngeal lymph node (RPLN) metastases can occur from advanced head and neck malignancies. Surgical access to RPLNs can be challenging. Considering the more aggressive conventional approach methods, there is an increasing need for minimally invasive techniques. Applying transoral robotic surgery (TORS) to access the RPLN has never been reported in the literature. The purpose of this study was to describe our experience with transoral robotic RPLN dissection for oropharyngeal and hypopharyngeal squamous cell carcinomas. We conducted a retrospective review of TORS cases performed at Severance Hospital, a tertiary care medical center from December 2011 to July 2012. Demographic, clinicopathologic, and treatment characteristics were abstracted from the medical record as well as complications and were analyzed descriptively. A total of 5 TORS procedures with transoral robotic RPLN dissection have been performed at Severance Hospital. Of these, 4 patients were treated for oropharyngeal squamous cell carcinoma and 1 for hypopharyngeal squamous cell carcinoma. The mean operation time for TORS including the robotic RPLN dissection was 84 ± 18.5 minutes. The operation time included time for docking of the robotic arms (4.8 ± 1.3 minutes), console working time for primary tumor removal (50 ± 8.9 minutes), and console working time for RPLN dissection (29.2 ± 9.4 minutes). No patients experienced complications related to the transoral robotic RPLN dissection. Transoral robotic RPLN dissection is a feasible approach for accessing retropharyngeal lymph nodes. This particular operative technique can serve as a minimal invasive surgery in removing pathologic RPLNs.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00001665-201307000-00025&LSLINK=80&D=ovft
DOI
10.1097/SCS.0b013e318293f860
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
Koh, Yoon Woo(고윤우)
Kim, Won Shik(김원식)
Park, Young Min(박영민) ORCID logo https://orcid.org/0000-0002-7593-8461
Byeon, Hyung Kwon(변형권)
Choi, Eun Chang(최은창)
Hong, Hyun Jun(홍현준) ORCID logo https://orcid.org/0000-0002-7808-7877
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/88142
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