Oncological, Surgical and Functional Outcomes of Transoral Robotic Cordectomy for Early Glottic Carcinoma.
Cancer
Cordectomy
Laryngeal
Larynx
Robot
Robotic
Journal
Journal of voice : official journal of the Voice Foundation
ISSN: 1873-4588
Titre abrégé: J Voice
Pays: United States
ID NLM: 8712262
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
received:
26
01
2021
revised:
30
03
2021
accepted:
05
04
2021
medline:
19
9
2023
pubmed:
7
6
2021
entrez:
6
6
2021
Statut:
ppublish
Résumé
To investigate oncological, surgical and functional outcomes of transoral robotic surgery cordectomy (TORS-Co). A retrospective chart review of patients benefiting from TORS-Co for a cT1a vocal fold squamous cell carcinoma was conducted at a single academic medical center. TORS-Co was performed through da Vinci robot. The following outcomes were studied: preoperative and operative exposures; feasibility; conversion rate; average robotic set-up and operative times; margin status; postoperative complications; tracheotomy and feeding tube requirement. The medical record data of 12 patients were collected. Among them, two patients were excluded because the laryngeal exposition was not adequate. From the 10 included patients, TORS-Co was not performed in three patients. The tumor was not exposable regarding anatomical conditions in two patients, while the size of the robot arms did not allow an adequate exposure in another patient. TORS-Co was performed in the remaining seven patients without transient tracheotomy or feeding tube. The mean estimated blood loss was 20 mL. The average robotic set-up and operative times were 26 minutes and 30 minutes, respectively. The mean hospital stay was 2 days. The margins were not analyzable regarding the use of the monopolar. Two patients reported postoperative complications, while five required class 2 analgesics for postoperative pain. The mean duration of follow-up was 44 months (minimum duration of 36 months). One recurrence occurred 2 years post-surgery. The recurrence was successfully treated by transoral laser CO The exposure of the laryngeal surgical field is the primary limitation of TORS-Co. TORS-Co may not report better oncological and functional outcomes than transoral laser CO
Identifiants
pubmed: 34090738
pii: S0892-1997(21)00158-2
doi: 10.1016/j.jvoice.2021.04.024
pii:
doi:
Substances chimiques
Carbon Dioxide
142M471B3J
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
801.e3-801.e7Informations de copyright
Copyright © 2021 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflict of interest statement The authors have no conflicts of interest