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Transoral robotic surgery for recurrent cancers of the upper aerodigestive tract—Systematic review and meta‐analysis
Author(s) -
Hardman John,
Liu ZiWei,
Brady Grainne,
Roe Justin,
Kerawala Cyrus,
Riva Francesco,
Clarke Peter,
Kim Dae,
Bhide Shreerang,
Nutting Christopher,
Harrington Kevin,
Paleri Vinidh
Publication year - 2020
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.26100
Subject(s) - medicine , meta analysis , transoral robotic surgery , head and neck cancer , confidence interval , head and neck , surgery , overall survival , cancer
Background Transoral robotic surgery (TORS) for recurrent head and neck (H&N) cancer is an emerging but relatively infrequent procedure. Methods Systematic review and meta‐analysis of studies reporting survival data and functional outcomes for patients undergoing TORS for previously treated H&N cancers. Results Eight hundred seventy‐eight records were identified, of which eight were eligible for inclusion, covering 161 cases (range 1‐64). The pooled rates were as follows: 2‐year overall survival 73.8% (4 studies, range 70.6‐75.0, 95% confidence intervals (CI) 65.4 to 81.5, [ I 2 0.0%, P = 1.0]); 2‐year disease‐free survival 74.8% (4 studies, range 56.2‐92.0, 95% CI 63.3 to 84.8, [ I 2 36.9%, P = .2]); postoperative hemorrhage 9.3% (4 studies, range 3.3‐13.3, 95% CI 4.7 to 15.1, [ I 2 0.0%, P = .5]). Conclusions Functional and oncological outcomes are favorable, although the follow‐up is limited in the literature. Larger cohorts with longer follow‐up are needed for definitive conclusions to be drawn.