Abstract：
BACKGROUND: Neck dissection forms an important component in the surgical management of head and neck cancers. By using the conventional techniques of neck dissection, a conspicuous scar is inevitable for the patients. The development of robotic assisted neck dissection provides for a scar-free neck along with good oncological and functional outcomes.
METHODS: A prospective observational study was conducted in our institute from 2020 March to 2022 March, where robotic-assisted neck dissections performed via the modified bilateral axillo-breast insufflation technique.
RESULTS: Eighty-two patients underwent robotic neck dissections in our institute. Notably, 79 patients were treatment-naïve. The average docking time was 12 min and console time was 160 ± 15 min. The mean lymph node yield was 28.2. The average post-operative stay was 5.6 days. The average follow-up was noted to be 6.4 months. The mean cosmetic satisfaction score in our patients was 4.45. Only one patient presented with nodal recurrence, who was identified as a defaulter for adjuvant treatment. Robotic neck dissection gives similar functional and oncological outcomes as compared with conventional neck dissection. Patients had excellent cosmetic satisfaction following the procedure. The limitations of these techniques include high cost of procedure and longer operating time. This is a level IV evidence study.
CONCLUSIONS: Although good oncological, functional, and cosmetic outcomes have been attained in robotic assisted neck dissection, further randomized controlled studies need to be conducted to justify the added costs, cosmetic advantage, and the time taken.
METHODS: IV Laryngoscope, 134:4045-4051, 2024.
METHODS: A prospective observational study was conducted in our institute from 2020 March to 2022 March, where robotic-assisted neck dissections performed via the modified bilateral axillo-breast insufflation technique.
RESULTS: Eighty-two patients underwent robotic neck dissections in our institute. Notably, 79 patients were treatment-naïve. The average docking time was 12 min and console time was 160 ± 15 min. The mean lymph node yield was 28.2. The average post-operative stay was 5.6 days. The average follow-up was noted to be 6.4 months. The mean cosmetic satisfaction score in our patients was 4.45. Only one patient presented with nodal recurrence, who was identified as a defaulter for adjuvant treatment. Robotic neck dissection gives similar functional and oncological outcomes as compared with conventional neck dissection. Patients had excellent cosmetic satisfaction following the procedure. The limitations of these techniques include high cost of procedure and longer operating time. This is a level IV evidence study.
CONCLUSIONS: Although good oncological, functional, and cosmetic outcomes have been attained in robotic assisted neck dissection, further randomized controlled studies need to be conducted to justify the added costs, cosmetic advantage, and the time taken.
METHODS: IV Laryngoscope, 134:4045-4051, 2024.
摘要：
背景：颈淋巴结清扫术是头颈部肿瘤手术治疗的重要组成部分。通过使用常规的颈部解剖技术，明显的疤痕对病人来说是不可避免的。机器人辅助颈部解剖的发展提供了无疤痕的颈部以及良好的肿瘤和功能结果。
方法：我们研究所于2020年3月至2022年3月进行了一项前瞻性观察研究，通过改良的双侧腋窝-乳房吹入技术进行机器人辅助颈淋巴结清扫术。
结果：82名患者在我们的研究所接受了机器人颈部解剖。值得注意的是,79例患者未接受治疗。平均对接时间为12分钟，控制台时间为160±15分钟。平均淋巴结产率为28.2。术后平均住院时间为5.6天。平均随访时间为6.4个月。我们患者的平均美容满意度评分为4.45。只有一名患者出现淋巴结复发，他被确定为辅助治疗的违约者。与常规颈淋巴结清扫术相比，机器人颈淋巴结清扫术具有相似的功能和肿瘤学结果。手术后，患者对化妆品的满意度很高。这些技术的局限性包括程序的高成本和更长的操作时间。这是一个IV级证据研究。
结论：虽然良好的肿瘤学，功能，在机器人辅助颈部解剖中已经达到了美容效果，需要进行进一步的随机对照研究，以证明增加的成本是合理的，化妆品的优势，和花费的时间。
方法：四级喉镜，2024.
方法：我们研究所于2020年3月至2022年3月进行了一项前瞻性观察研究，通过改良的双侧腋窝-乳房吹入技术进行机器人辅助颈淋巴结清扫术。
结果：82名患者在我们的研究所接受了机器人颈部解剖。值得注意的是,79例患者未接受治疗。平均对接时间为12分钟，控制台时间为160±15分钟。平均淋巴结产率为28.2。术后平均住院时间为5.6天。平均随访时间为6.4个月。我们患者的平均美容满意度评分为4.45。只有一名患者出现淋巴结复发，他被确定为辅助治疗的违约者。与常规颈淋巴结清扫术相比，机器人颈淋巴结清扫术具有相似的功能和肿瘤学结果。手术后，患者对化妆品的满意度很高。这些技术的局限性包括程序的高成本和更长的操作时间。这是一个IV级证据研究。
结论：虽然良好的肿瘤学，功能，在机器人辅助颈部解剖中已经达到了美容效果，需要进行进一步的随机对照研究，以证明增加的成本是合理的，化妆品的优势，和花费的时间。
方法：四级喉镜，2024.
