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Robotic Resection of Benign Neck Masses via a Retroauricular Approach

Authors
 Young Min Park  ;  Hyung Kwon Byeon  ;  Hyun Pil Chung  ;  Kyung Jin Rho  ;  Se-Heon Kim 
Citation
 JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES, Vol.23(7) : 578-583, 2013 
Journal Title
 JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES 
ISSN
 1092-6429 
Issue Date
2013
MeSH
Adolescent ; Adult ; Blood Loss, Surgical ; Branchioma/surgery* ; Esthetics ; Feasibility Studies ; Female ; Humans ; Lymph Node Excision/methods* ; Male ; Middle Aged ; Neck/surgery* ; Operative Time ; Patient Safety ; Prospective Studies ; Robotics* ; Submandibular Gland/surgery* ; Treatment Outcome
Keywords
Adolescent ; Adult ; Blood Loss, Surgical ; Branchioma/surgery* ; Esthetics ; Feasibility Studies ; Female ; Humans ; Lymph Node Excision/methods* ; Male ; Middle Aged ; Neck/surgery* ; Operative Time ; Patient Safety ; Prospective Studies ; Robotics* ; Submandibular Gland/surgery* ; Treatment Outcome
Abstract
Objectives: The purpose of this study was to analyze the feasibility and safety of robotic resection of benign upper neck masses through a modified facelift approach. Patients and Methods: Between November 2010 and February 2012, 9 patients were enrolled in this prospective study. Six patients received a robotic submandibular gland resection via a retroauricular approach. Two patients received robotic resection of the second branchial cleft cyst. One patient received robotic operation for the removal of lymphadenopathy, which occurred in the submental area. Results: Robotic resection of a benign upper neck mass was successfully performed through a retroauricular approach in all patients. The average robotic system docking times and robotic operation times were 8.5 minutes and 62.4 minutes, respectively. All patients were extremely satisfied with their cosmetic results after the operation. There were no cases of nerve palsy in the marginal mandibular branch of the facial nerve, the lingual nerve, the hypoglossal nerve, or the spinal accessory nerve. No patient required blood transfusion in response to significant bleeding or was converted to open surgery. Mean blood loss was minimal (6.6 mL). The average period of follow-up for the patients was 12.7 months. All patients have maintained disease-free status. Conclusions: Robotic resection of a benign upper neck mass via a retroauricular approach is technically feasible and results in better cosmetic outcomes than the conventional transcervical approach. This new surgical method is safe and effective for benign upper neck masses that require surgical removal.
Full Text
http://online.liebertpub.com/doi/abs/10.1089/lap.2012.0468
DOI
10.1089/lap.2012.0468
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
Byeon, Hyung Kwon(변형권)
Chung, Hyun Pil(정현필)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/88154
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