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Transoral robotic retropharyngeal lymph node dissection in a recurrent head and neck carcinoma
Author(s) -
Petruzzi Gerardo,
Zocchi Jacopo,
Moretto Silvia,
Pichi Barbara,
Cristalli Giovanni,
Mercante Giuseppe,
Spriano Giuseppe,
De Virgilio Armando,
Pellini Raul
Publication year - 2019
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.25874
Subject(s) - transoral robotic surgery , medicine , dissection (medical) , retractor , head and neck squamous cell carcinoma , lymph node , surgery , radiology , head and neck cancer , radiation therapy , pathology
Background 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. Methods Clinical human study of TORS RND via en bloc resection using a daVinci Si system (Intuitive Surgical, Inc., Sunnyvale, California). Results 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. Conclusions 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.