Transoral robotic supraglottic laryngectomy: Surgical considerations

BackgroundTransoral robotic surgery (TORS) has emerged as a novel, safe, and feasible procedure for the resection of supraglottic laryngeal cancers. The purpose of this study was to demonstrate the surgical technique for TORS supraglottic laryngectomy (SGL). MethodsA patient with a T2N0M0 laryngeal cancer limited to the supraglottic larynx was selected for TORS. ResultsEn bloc tumor resection was accomplished with negative surgical margins together with bilateral selective neck dissection. There was no perioperative or early postoperative complication. The patient was extubated immediately after surgery. Oral supraglottic diet was initiated within the first 24 hours. No gastrostomy or tracheostomy tube placement was required. A video demonstration of the surgical technique is included on Head & Neck's website. ConclusionTORS SGL is a safe and feasible procedure for the resection of selected supraglottic tumors. (c) 2014 Wiley Periodicals, Inc. Head Neck37: 125-126, 2015