Transoral robotic retropharyngeal lymph node dissection in a recurrent head and neck carcinoma.
case_report · Level V
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- Record sourced from PubMed, PMID 31293005.
- Also identified by DOI 10.1002/hed.25874.
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Abstract
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. Clinical human study of TORS RND via en bloc resection using a daVinci Si system (Intuitive Surgical, Inc., Sunnyvale, California). 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. 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.
Medical subject headings
- Carcinoma, Squamous Cell
- Laryngeal Neoplasms
- Lymph Node Excision
- Neoplasm Recurrence, Local
- Robotic Surgical Procedures