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Abstract：
Background: To investigate the perception of young European otolaryngologists (OTOs), i.e., head and neck surgeons, toward transoral robotic surgery (TORS). Methods: Members of the Young Confederation of European Otorhinolaryngology-Head and Neck Surgery and Young Otolaryngologists of International Federation of Otorhinolaryngological Societies were surveyed about TORS perception and practice. Results: The survey was completed by 120 young OTOS (26%). The most important barriers to TORS were robot availability (73%), cost (69%), and lack of training (37%). The participants believed that the main benefits include better surgical filed view (64%), shorter hospital stay (62%), and better postoperative outcomes (61%) than the conventional approach. Head and neck surgeons considered cT1-T2 oropharyngeal cancers (94%), resection of base of tongue for sleep apnea (86%), or primary unknown cancer (76%) as the most appropriate indications. A total of 67% of TORS surgeons assessed themselves as adequately trained in TORS. Conclusions: Young European OTOs report positive perception, adoption, and knowledge of TORS. The cost-related unavailability and the lack of training or access are reported to be the most important barriers for the spread of TORS.
摘要：
背景：为了调查欧洲年轻耳鼻喉科医师（OTOs）的看法，即，头颈外科医生,面向经口机器人手术（TORS）。方法：对欧洲耳鼻咽喉头颈外科青年联合会成员和国际耳鼻咽喉科学会联合会青年耳鼻咽喉科医师的TORS感知和实践进行调查。结果：调查由120名年轻的OTOS完成（26%）。TORS最重要的障碍是机器人可用性(73%)，成本（69%），缺乏培训（37%）。参与者认为，主要的好处包括更好的手术视野（64％），住院时间较短(62%)，与常规方法相比，术后结局更好（61％）。头颈部外科医生考虑cT1-T2口咽癌症（94％），舌根切除术治疗睡眠呼吸暂停（86%），或原发性未知癌症（76％）作为最合适的适应症。总共67%的TORS外科医生评估自己在TORS方面接受了充分的培训。结论：年轻的欧洲OTO报告了积极的看法，收养,和TORS的知识。据报道，与成本相关的不可用和缺乏培训或访问是TORS传播的最重要障碍。
