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International Journal of Clinical Oncology

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01.08.2015 | Original Article

Transoral robotic surgery in management of oropharyngeal cancers: a preliminary experience at a tertiary cancer centre in India

verfasst von: Surender Dabas, Abhinav Dewan, Reetesh Ranjan, Ajay Kumar Dewan, Anoop Puri, Swati H. Shah, Rupal Sinha

Erschienen in: International Journal of Clinical Oncology | Ausgabe 4/2015

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Abstract

Background

The aim of this observational prospective study was to determine the technical feasibility, safety and adequacy of surgical margins for transoral robotic surgery (TORS) in oropharyngeal cancers.

Methods

From March 2013 to May 2014, 60 patients with oropharyngeal lesions underwent TORS with or without neck dissection using the ‘DaVinci’ robot. Patients were observed and data recorded on surgical time, blood loss, complications and functional outcome of patients.

Results

All 60 patients underwent TORS, with neck dissection performed in 45 of the patients. A positive margin was seen in two patients (3.3 %). Intent to treatment was radical in 42 patients and salvage in 18 patients. None of the patients required tracheostomy, and one patient (1.66 %) died postoperatively. Postoperative complications in the form of primary haemorrhage required active intervention in three patients. Average estimated blood loss was 26.5 ± 31.1 ml. Postoperatively, all patients had adequate swallowing and speech function with nasal twang reported in three patients on long-term follow up. Patients started tolerating oral feeds within a week of procedure (mean 3.96 days), with the nasogastric tube removed on the ninth postoperative day (mean 9.19 days). No long-term gastrostomy tube dependency was reported.

Conclusion

TORS is a safe, feasible, minimally invasive procedure in patients with oropharyngeal cancers. It has the least morbidity and offers benefits in terms of avoidance of tracheostomy tube, prolonged Ryle’s tube and gastrostomy dependency.

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Titel: Transoral robotic surgery in management of oropharyngeal cancers: a preliminary experience at a tertiary cancer centre in India
verfasst von: Surender Dabas
Abhinav Dewan
Reetesh Ranjan
Ajay Kumar Dewan
Anoop Puri
Swati H. Shah
Rupal Sinha
Publikationsdatum: 01.08.2015
Verlag: Springer Japan
Erschienen in: International Journal of Clinical Oncology / Ausgabe 4/2015
Print ISSN: 1341-9625
Elektronische ISSN: 1437-7772
DOI: https://doi.org/10.1007/s10147-014-0774-3

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Transoral robotic surgery in management of oropharyngeal cancers: a preliminary experience at a tertiary cancer centre in India