Transoral robotic retropharyngeal lymph node dissection in a recurrent head and neck carcinoma.
TORS
head and neck surgery
minimally invasive surgery
retropharynx
robotic surgery
Journal
Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541
Informations de publication
Date de publication:
11 2019
11 2019
Historique:
received:
16
03
2019
revised:
17
06
2019
accepted:
26
06
2019
pubmed:
12
7
2019
medline:
21
11
2020
entrez:
12
7
2019
Statut:
ppublish
Résumé
A step-by-step demonstration of the transoral robotic surgical approach (TORS) used in retropharyngeal node dissection (RND) in a recurrent head and neck carcinoma. Clinical human study of TORS RND via en bloc resection using a daVinci Si system (Intuitive Surgical, Inc., Sunnyvale, California). A daVinci Si system provided sufficient access, reach, and visualization to perform TORS-RND. Access and exposure were achieved with a Feyh-Kastenbauer (FK) retractor (Gyrus Medical Inc., Tuttlingen, Germany). Two surgical instruments and one 3D camera arm can be deployed with minimal collision or restriction of arm movement. Routine transcervical, transparotid, and transmandibular RNDs can provoke potentially serious surgical morbidities and complications. This study demonstrates the technical feasibility of TORS RND in a 68-year-old man.
Sections du résumé
BACKGROUND
A step-by-step demonstration of the transoral robotic surgical approach (TORS) used in retropharyngeal node dissection (RND) in a recurrent head and neck carcinoma.
METHODS
Clinical human study of TORS RND via en bloc resection using a daVinci Si system (Intuitive Surgical, Inc., Sunnyvale, California).
RESULTS
A daVinci Si system provided sufficient access, reach, and visualization to perform TORS-RND. Access and exposure were achieved with a Feyh-Kastenbauer (FK) retractor (Gyrus Medical Inc., Tuttlingen, Germany). Two surgical instruments and one 3D camera arm can be deployed with minimal collision or restriction of arm movement.
CONCLUSIONS
Routine transcervical, transparotid, and transmandibular RNDs can provoke potentially serious surgical morbidities and complications. This study demonstrates the technical feasibility of TORS RND in a 68-year-old man.
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
4051-4053Informations de copyright
© 2019 Wiley Periodicals, Inc.
Références
Rouviere H, Tobias MJ. Anatomy of the Human Lymphatic System: A Compendium, Translated from the Original (French). Ann Arbor, MI: MJ Edwards; 1938.
Ballantyne AJ. Significance of retropharyngeal nodes in cancer of the head and neck. Am J Surg. 1964;108:500-504.
Buttà L, Lombardi D, Marconi A, Nicolai P. Transoral excision of a retropharyngeal lymph node under rigid endoscopic control. Ann Otol Rhinol Laryngol. 2010;119:211-214.
Ozlugedik S, Ibrahim Acar H, Apaydin N, et al. Retropharyngeal space and lymph nodes: an anatomical guide for surgical dissection. Acta Otolaryngol. 2005;125:1111-1115.
De Virgilio A, Park YM, Kim WS, Baek SJ, Kim SH. How to optimize laryngeal and hypopharyngeal exposure in transoral robotic surgery. Auris Nasus Larynx. 2013;40:312-319.
Park YM, De Virgilio A, Kim WS, Chung HP, Kim SH. Parapharyngeal space surgery via a transoral approach using a robotic surgical system: transoral robotic surgery. J Laparoendosc Adv Surg Tech. 2013;23:231-236.
Tsang RK, Wong EWY, Chan JYK. Transoral radical tonsillectomy and retropharyngeal lymph node dissection with a flexible next generation robot surgical system. Head Neck. 2018;40:1296-1298.
Park YM, Cha D, Koh YW, Choi EC, Kim SH. Transoral robotic surgery with Transoral retropharyngeal lymph node dissection in patients with Tonsillar cancer: anatomical points, surgical techniques, and clinical usefulness. J Craniofac Surg. 2019;30:145-148.
Troob S, Givi B, Hodgson M, et al. Transoral robotic retropharyngeal node dissection in oropharyngeal squamous cell carcinoma: patterns of metastasis and functional outcomes. Head Neck. 2017;39:1969-1975.