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Transoral radical tonsillectomy and retropharyngeal lymph node dissection with a flexible next generation robotic surgical system
Author(s) -
Tsang Raymond K.,
Wong Eddy W. Y.,
Chan Jason Y. K.
Publication year - 2018
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.25118
Subject(s) - transoral robotic surgery , tonsillectomy , dissection (medical) , medicine , lymph node , surgery , general surgery , pathology
Background The purpose of this study was to describe the use of a novel flexible, single‐arm robot in performing a transoral radical tonsillectomy and retropharyngeal lymph node dissection. Methods A 63‐year‐old man with a T1N2bM0 (American Joint Committee on Cancer seventh edition classification) squamous cell carcinoma (SCC) of the left tonsil underwent a transoral robotic radical tonsillectomy and retropharyngeal lymph node dissection, followed by a left selective neck dissection of levels I to IV. Results The tonsillar tumor was removed completely with a negative margin that was followed by a dissection and removal of a retropharyngeal lymph node, completed with primary closure of the site. A left selective neck dissection was then performed. The patient was tolerating an oral diet on postoperative day 1 and had no robotic or surgically related complications at 30‐day follow‐up. Conclusion It is feasible and safe to use this novel, flexible, single‐arm robot in performing a transoral robotic radical tonsillectomy and retropharyngeal lymph node dissection.