PDF(Pubmed)
Abstract：
To review complications including mortality after transoral robotic surgery (TORS) for both benign and malignant pathologies. This is a prospective observational study. Postoperative haemorrhage (8.7%) was the most common complication and 2 (1.7%) mortality were seen in this study. Airway complications and tracheostomy (1.7%), aspiration pneumonia (1.7%), swallowing problems and nasogastric feeding (7%), intra-operative pharyngocutaneous fistula (0.9%) and transient nasal regurgitation (3.5%) were also seen. The more tissue is removed the more is the risk of complication. Complications were mainly seen in the first year of starting the service of TORS and it is a reflection of the learning curve. However, secondary haemorrhage did not follow any pattern in our series. The postoperative haemorrhage was more common in patients with T2 oropharyngeal carcinoma. The mortality was seen in 2 patients (1.7%) with T2 oropharyngeal carcinoma due to postoperative haemorrhage. Higher T stage of oropharyngeal squamous cell carcinoma (OPSCC) needs bigger resection with resultant increase in morbidity.
摘要：
回顾并发症，包括经口机器人手术（TORS）后良性和恶性病变的死亡率。这是一项前瞻性观察性研究。术后出血（8.7％）是最常见的并发症，在本研究中发现2例（1.7％）死亡率。气道并发症和气管造口术（1.7％），吸入性肺炎(1.7%),吞咽问题和鼻饲（7％），术中咽部皮肤瘘(0.9%)和短暂性鼻腔反流(3.5%)也被发现.切除的组织越多，并发症的风险就越大。并发症主要出现在开始使用TORS的第一年，这是学习曲线的反映。然而,继发性出血在我们的系列中没有出现任何模式.术后出血在T2口咽癌患者中更为常见。由于术后出血，2例T2口咽癌患者（1.7％）死亡。口咽鳞状细胞癌（OPSCC）的较高T分期需要更大的切除，从而导致发病率增加。
