The emerging role of trans-oral robotic surgery for the detection of the primary tumour site in patients with head-neck unknown primary cancers: A meta-analysis.

Head and Neck Neoplasms / diagnosis Humans Lymph Nodes / pathology Neck Neoplasms, Unknown Primary / diagnosis Oropharyngeal Neoplasms / diagnosis Papillomavirus Infections / diagnosis Robotic Surgical Procedures / methods Squamous Cell Carcinoma of Head and Neck / diagnosis Tongue Neoplasms / diagnosis
Head neck Lymph nodes Robotic Surgical procedures Unknown primary tumors

Journal

Auris, nasus, larynx
ISSN: 1879-1476
Titre abrégé: Auris Nasus Larynx
Pays: Netherlands
ID NLM: 7708170

Informations de publication

Date de publication:
Oct 2019
Historique:
received: 02 02 2019
revised: 16 04 2019
accepted: 23 04 2019
pubmed: 9 5 2019
medline: 29 1 2020
entrez: 9 5 2019
Statut: ppublish

Résumé

The identification of the site in head neck unknown primary (HNUP) tumour is of utmost importance to help select best treatment while decreasing treatment-related morbidity and mortality. The primary purpose of this study is to demonstrate that TORS may be a valuable tool in detecting primary tumour. Studies were systematically searched in the PubMed, EMBASE, the Cochrane Library and CENTRAL electronic databases. A total of 12 selected studies (349 patients) were analyzed. The primary tumour detection and positive surgical margins rates were 70.8% and 19.4%, respectively. The rate of HPV-related tumour was 71.3%. The primary tumour was mainly in base of tongue (64%). In conclusion, TORS seems to be an effective surgical approach both in terms of detection of primary tumour site and in terms of therapeutic perspective for HNUP. In particular, a subset of HPV-related tumours might benefits all advantages from this surgical modality.

Identifiants

DOI: 10.1016/j.anl.2019.04.007 PMID: 31064689
pubmed: 31064689
pii: S0385-8146(19)30113-0
doi: 10.1016/j.anl.2019.04.007
pii:
doi:

Types de publication

Journal Article Meta-Analysis Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

663-671

Informations de copyright

Copyright © 2019 Elsevier B.V. All rights reserved.

Auteurs

Giuseppe Meccariello (G)

Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Azienda USL della Romagna, Forlì, Italy. Electronic address: drmeccariello@gmail.com.

Giovanni Cammaroto (G)

Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Azienda USL della Romagna, Forlì, Italy; Department of Otolaryngology and Head-Neck Surgery, University of Messina, Italy.

Enyinnaya Ofo (E)

St George's University Hospital, Kingston Hospital NHS Foundation Trusts, London, UK.

Sebastiano Calpona (S)

Osteoncology and Rare Tumors Center, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori(IRST), IRCCS, Meldola, Italy.

Elisabetta Parisi (E)

Radiotherapy Department, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori(IRST), IRCCS, Meldola, Italy.

Giovanni D'Agostino (G)

Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Azienda USL della Romagna, Forlì, Italy.

Riccardo Gobbi (R)

Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Azienda USL della Romagna, Forlì, Italy.

Elisabetta Firinu (E)

Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Azienda USL della Romagna, Forlì, Italy.

Chiara Bellini (C)

Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Azienda USL della Romagna, Forlì, Italy.

Andrea De Vito (A)

Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Azienda USL della Romagna, Forlì, Italy.

Filippo Montevecchi (F)

Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Azienda USL della Romagna, Forlì, Italy.

Matteo Costantini (M)

Department of Surgical Pathology, Morgagni Pierantoni Hospital, Azienda USL della Romagna, Forlì, Italy.

Elena Amadori (E)

Radiology Department, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori(IRST), IRCCS, Meldola, Italy.

Simona Nuzzo (S)

Department of Biostatistics, Azienda USL della Romagna, Forlì, Italy.

Stefano Pelucchi (S)

ENT Department, University Hospital of Ferrara, Italy.

Claudio Vicini (C)

Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Azienda USL della Romagna, Forlì, Italy.

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Classifications MeSH

questionsmedicales.fr › Tumeurs › Tumeurs par siège › Tumeurs de la tête et du cou › The emerging role of trans-oral robotic...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › The emerging role of trans-oral robotic...
questionsmedicales.fr › Systèmes sanguin et immunitaire › Système immunitaire › Système lymphatique › Tissu lymphoïde › Noeuds lymphatiques › The emerging role of trans-oral robotic...
questionsmedicales.fr › Régions du corps › Cou › The emerging role of trans-oral robotic...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Processus néoplasiques › Métastase tumorale › Métastases d'origine inconnue › The emerging role of trans-oral robotic...
questionsmedicales.fr › Maladies oto-rhino-laryngologiques › Maladies du pharynx › Tumeurs du pharynx › Tumeurs de l'oropharynx › The emerging role of trans-oral robotic...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Caractéristiques de la maladie › Maladies transmissibles › Maladies sexuellement transmissibles › Maladies sexuellement transmissibles virales › Infections à papillomavirus › The emerging role of trans-oral robotic...
questionsmedicales.fr › Technologie, industrie et agriculture › Technologie › Automatisation › Interventions chirurgicales robotisées › The emerging role of trans-oral robotic...
questionsmedicales.fr › Tumeurs › Tumeurs par siège › Tumeurs de la tête et du cou › Carcinome épidermoïde de la tête et du cou › The emerging role of trans-oral robotic...
questionsmedicales.fr › Maladies du système stomatognathique › Maladies de la bouche › Maladies de la langue › Tumeurs de la langue › The emerging role of trans-oral robotic...