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Functional outcomes, feasibility, and safety of resection of transoral robotic surgery: Single‐institution series of 35 consecutive cases of transoral robotic surgery for oropharyngeal squamous cell carcinoma
Author(s) -
Lörincz Balazs B.,
Möckelmann Nikolaus,
Busch ChiaJung,
Knecht Rainald
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.23809
Subject(s) - transoral robotic surgery , medicine , surgery , swallowing , head and neck cancer , tracheotomy , radiation therapy
Background This is a single‐institution prospective study in a tertiary care center to evaluate feasibility, completeness of resection, and functional outcomes for oropharyngeal squamous cell carcinoma (SCC) treated primarily with transoral robotic‐assisted resection. Methods Thirty‐five patients with T1 and T2 squamous cell carcinoma of the oropharynx were included. They underwent transoral robotic surgery (TORS) between September 2011 and April 2013, with a median follow‐up time of 13 months. Results Main outcome measures were completeness of resection, disease‐free survival, and cancer recurrence for the preliminary oncologic outcome; postoperative bleeding, number of days intubated, rate of elective tracheotomy, duration of intensive care and/or intermediate care, speech and swallowing function, and length of nasogastric and/or gastrostomy tube dependency for the functional results. Conclusion Our 1‐year (median) functional and early oncologic results of 35 patients with oropharyngeal cancer treated primarily with TORS are encouraging to continue gaining further experiences with this surgical modality on a select subgroup of patients. © 2014 Wiley Periodicals, Inc. Head Neck , 2014 © 2014 Wiley Periodicals, Inc. Head Neck 37: 1618–1624, 2015