Robotic transoral approach for salvage retropharyngeal node dissection: an analysis of functional and oncological outcomes.
Metastasis
Minimal invasive
Recurrence
Retropharyngeal space
Retropharynx
Robotic surgery
Swallowing
TORS
Velopharyngeal incompetence
Journal
Journal of robotic surgery
ISSN: 1863-2491
Titre abrégé: J Robot Surg
Pays: England
ID NLM: 101300401
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
received:
30
10
2020
accepted:
13
04
2021
pubmed:
27
4
2021
medline:
31
3
2022
entrez:
26
4
2021
Statut:
ppublish
Résumé
Presence of metastatic tumour in the retropharyngeal node has a negative impact on the prognosis. We present here our 5-year experience and the outcomes of transoral robotic retropharyngeal node dissection (RPND) in salvage settings. Hospital database was accessed to extract details of patients with head and neck cancer who developed retropharyngeal (RP) node metastasis. Patients who underwent transoral robotic surgery (TORS) for RPND in salvage settings were included for the study. Patients were first followed-up after 10 days of discharge and then on a monthly basis after completion of treatment. At each follow-up, swallow functions and disease status were recorded. A total of 10 patients met the inclusion criteria and underwent salvage transoral robotic RPND. The total number of lymph nodes removed from these patients were 11, with all having malignant tumour deposits. The median follow-up was 20 months. Four patients developed distant metastasis. There were no major procedure-related complications. Our experience suggests that TORS as treatment modality is oncologically sound and feasible for salvage RP node dissection.Level of evidence Retrospective Study (3).
Identifiants
pubmed: 33900562
doi: 10.1007/s11701-021-01241-4
pii: 10.1007/s11701-021-01241-4
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
333-338Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.
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