期刊
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
卷 35, 期 8, 页码 1158-1161出版社
WILEY
DOI: 10.1002/hed.23101
关键词
transoral robotic surgery; supraglottic laryngectomy; head and neck cancer
BackgroundTransoral, minimally invasive organ preservation surgeries are being increasingly used for laryngopharyngeal carcinomas to avoid the toxicities of combined chemotherapy and radiation therapy regimens. This study investigates the efficiency, safety, and functional outcomes of transoral robotic surgery (TORS) supraglottic laryngectomy. MethodsPatients with laryngeal cancer who underwent TORS supraglottic laryngectomy and participated in a prospective TORS study between 2008 and 2011 at an academic medical center are presented. ResultsThirteen of 126 patients underwent TORS supraglottic laryngectomy for laryngeal cancer. Average robotic operative time and estimated blood loss were 25.3 minutes and 15.4 mL, respectively. Negative surgical margins were achieved in all patients. Eleven patients were started on an oral diet within 24 hours of surgery with no evidence of immediate airway compromise. Two patients (15.4%) received adjuvant radiation therapy based on pathology. ConclusionIn this preliminary study, TORS supraglottic laryngectomy was a safe procedure with good functional outcomes. (c) 2012 Wiley Periodicals, Inc. Head Neck, 2013
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