%0 Case Reports
%T Transoral robotic retropharyngeal lymph node dissection in a recurrent head and neck carcinoma.
%A Petruzzi G
%A Zocchi J
%A Moretto S
%A Pichi B
%A Cristalli G
%A Mercante G
%A Spriano G
%A De Virgilio A
%A Pellini R
%J Head Neck
%V 41
%N 11
%D 11 2019
%M 31293005
%F 3.821
%R 10.1002/hed.25874
%X 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.<BR>Clinical human study of TORS RND via en bloc resection using a daVinci Si system (Intuitive Surgical, Inc., Sunnyvale, California).<BR>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.<BR>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.