关键词: TORS head and neck surgery minimally invasive surgery retropharynx robotic surgery

Mesh : Aged Carcinoma, Squamous Cell / pathology surgery Humans Laryngeal Neoplasms / pathology surgery Lymph Node Excision / methods Male Neoplasm Recurrence, Local / pathology surgery Robotic Surgical Procedures / methods

来  源:   DOI:10.1002/hed.25874   PDF(Sci-hub)

Abstract:
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.
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