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Timing of neck dissection in patients undergoing transoral robotic surgery for head and neck cancer

Standard

Timing of neck dissection in patients undergoing transoral robotic surgery for head and neck cancer. / Möckelmann, N; Busch, C-J; Münscher, A; Knecht, R; Lörincz, B B.

in: EJSO-EUR J SURG ONC, 17.02.2015.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Möckelmann, N, Busch, C-J, Münscher, A, Knecht, R & Lörincz, BB 2015, 'Timing of neck dissection in patients undergoing transoral robotic surgery for head and neck cancer', EJSO-EUR J SURG ONC. https://doi.org/10.1016/j.ejso.2015.02.002

APA

Möckelmann, N., Busch, C-J., Münscher, A., Knecht, R., & Lörincz, B. B. (2015). Timing of neck dissection in patients undergoing transoral robotic surgery for head and neck cancer. EJSO-EUR J SURG ONC. https://doi.org/10.1016/j.ejso.2015.02.002

Vancouver

Möckelmann N, Busch C-J, Münscher A, Knecht R, Lörincz BB. Timing of neck dissection in patients undergoing transoral robotic surgery for head and neck cancer. EJSO-EUR J SURG ONC. 2015 Feb 17. https://doi.org/10.1016/j.ejso.2015.02.002

Bibtex

@article{328e7f7e19b5425eb60a3556c5be71df,
title = "Timing of neck dissection in patients undergoing transoral robotic surgery for head and neck cancer",
abstract = "BACKGROUND: Oncologic transoral robotic surgery (TORS) requires in most cases the concurrent or staged surgical treatment of the regional lymph nodes in the neck as well. The purpose of this study was to determine whether the timing of the regional lymphadenectomy (neck dissection) has an impact on the surgical outcomes and on the complication rates.METHODS: Single-institution, prospective case series with internal control group. Twenty-one patients underwent TORS and appropriate neck dissection concurrently (control group), while 20 patients underwent neck dissection in a timely staged fashion, 8.4 days (median; range, 3-28 days) following their TORS procedure (experimental group). Outcome measures included nodal yield, intraoperative pharyngocervical fistula formation, postoperative fistula formation, postoperative bleeding from the primary and from the neck dissection site, haematoma, seroma, and infection.RESULTS: Nodal yield values, as the oncologic quality indicator of a neck dissection, were comparable in the experimental and in the control group. Complication rates did not differ between the groups: intraoperative and postoperative fistula formation, postoperative bleeding, haematoma and seroma rates were similarly low in the two groups. There was no infection in either group.CONCLUSIONS: In the present cohort of 41 TORS-patients, the timing of neck dissection did not make a significant difference in the outcomes. We suggest therefore that aspiring and established TORS-teams do not restrict their appropriate indications due to robotic slot and theatre time constraints, but perform each indicated TORS-case as soon as possible within their given systems, even if the neck dissections cannot be done on the same day.",
author = "N M{\"o}ckelmann and C-J Busch and A M{\"u}nscher and R Knecht and L{\"o}rincz, {B B}",
note = "Copyright {\textcopyright} 2015 Elsevier Ltd. All rights reserved.",
year = "2015",
month = feb,
day = "17",
doi = "10.1016/j.ejso.2015.02.002",
language = "English",
journal = "EJSO-EUR J SURG ONC",
issn = "0748-7983",
publisher = "W.B. Saunders Ltd",

}

RIS

TY - JOUR

T1 - Timing of neck dissection in patients undergoing transoral robotic surgery for head and neck cancer

AU - Möckelmann, N

AU - Busch, C-J

AU - Münscher, A

AU - Knecht, R

AU - Lörincz, B B

N1 - Copyright © 2015 Elsevier Ltd. All rights reserved.

PY - 2015/2/17

Y1 - 2015/2/17

N2 - BACKGROUND: Oncologic transoral robotic surgery (TORS) requires in most cases the concurrent or staged surgical treatment of the regional lymph nodes in the neck as well. The purpose of this study was to determine whether the timing of the regional lymphadenectomy (neck dissection) has an impact on the surgical outcomes and on the complication rates.METHODS: Single-institution, prospective case series with internal control group. Twenty-one patients underwent TORS and appropriate neck dissection concurrently (control group), while 20 patients underwent neck dissection in a timely staged fashion, 8.4 days (median; range, 3-28 days) following their TORS procedure (experimental group). Outcome measures included nodal yield, intraoperative pharyngocervical fistula formation, postoperative fistula formation, postoperative bleeding from the primary and from the neck dissection site, haematoma, seroma, and infection.RESULTS: Nodal yield values, as the oncologic quality indicator of a neck dissection, were comparable in the experimental and in the control group. Complication rates did not differ between the groups: intraoperative and postoperative fistula formation, postoperative bleeding, haematoma and seroma rates were similarly low in the two groups. There was no infection in either group.CONCLUSIONS: In the present cohort of 41 TORS-patients, the timing of neck dissection did not make a significant difference in the outcomes. We suggest therefore that aspiring and established TORS-teams do not restrict their appropriate indications due to robotic slot and theatre time constraints, but perform each indicated TORS-case as soon as possible within their given systems, even if the neck dissections cannot be done on the same day.

AB - BACKGROUND: Oncologic transoral robotic surgery (TORS) requires in most cases the concurrent or staged surgical treatment of the regional lymph nodes in the neck as well. The purpose of this study was to determine whether the timing of the regional lymphadenectomy (neck dissection) has an impact on the surgical outcomes and on the complication rates.METHODS: Single-institution, prospective case series with internal control group. Twenty-one patients underwent TORS and appropriate neck dissection concurrently (control group), while 20 patients underwent neck dissection in a timely staged fashion, 8.4 days (median; range, 3-28 days) following their TORS procedure (experimental group). Outcome measures included nodal yield, intraoperative pharyngocervical fistula formation, postoperative fistula formation, postoperative bleeding from the primary and from the neck dissection site, haematoma, seroma, and infection.RESULTS: Nodal yield values, as the oncologic quality indicator of a neck dissection, were comparable in the experimental and in the control group. Complication rates did not differ between the groups: intraoperative and postoperative fistula formation, postoperative bleeding, haematoma and seroma rates were similarly low in the two groups. There was no infection in either group.CONCLUSIONS: In the present cohort of 41 TORS-patients, the timing of neck dissection did not make a significant difference in the outcomes. We suggest therefore that aspiring and established TORS-teams do not restrict their appropriate indications due to robotic slot and theatre time constraints, but perform each indicated TORS-case as soon as possible within their given systems, even if the neck dissections cannot be done on the same day.

U2 - 10.1016/j.ejso.2015.02.002

DO - 10.1016/j.ejso.2015.02.002

M3 - SCORING: Journal article

C2 - 25720557

JO - EJSO-EUR J SURG ONC

JF - EJSO-EUR J SURG ONC

SN - 0748-7983

ER -