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Early results of robotic assisted nasopharyngectomy for recurrent nasopharyngeal carcinoma
Author(s) -
Tsang Raymond K.,
To Victor S.,
Ho Ambrose C.,
Ho Waikuen,
Chan Jimmy Y.,
Wei William I.
Publication year - 2015
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.23672
Subject(s) - medicine , nasopharyngeal carcinoma , surgery , distant metastasis , cohort , overall survival , metastasis , radiation therapy , cancer
Background Minimally invasive nasopharyngectomy with the da Vinci surgical robot has been shown to be a feasible operation for salvage of recurrent nasopharyngeal carcinoma. The current case series presents the early results of robotic nasopharyngectomy. Methods We conducted a prospective series of patients who underwent robotic nasopharyngectomy for recurrent nasopharyngeal carcinoma in a single institution. Results Twelve patients underwent robotic nasopharyngectomy. The median operating time was 225 minutes. Median follow‐up time was 23.8 months. Nine patients had clear resection margins, 2 patients had close margins, and 1 patient had positive margin. Two patients developed local recurrence and 1 patient had distant metastasis. Two patients in the cohort died of unrelated causes. The 2‐year local control rate was 86%. The 2‐year overall survival and disease‐free survival was 83% and 61%, respectively. Conclusion Early results of robotic nasopharyngectomy showed a high local control rate. The operating time was comparable to open surgery and morbidities were low. © 2014 Wiley Periodicals, Inc. Head Neck 37: 788–793, 2015