Roboterassistierte Salvage Laryngektomie und Neck Dissection: das Konzept "Robotic Combo Surgery"

TY - JOUR

T1 - Roboterassistierte Salvage Laryngektomie und Neck Dissection: das Konzept "Robotic Combo Surgery"

AU - Lörincz, B B

AU - Knecht, R

N1 - © Georg Thieme Verlag KG Stuttgart · New York.

PY - 2013/9/1

Y1 - 2013/9/1

N2 - The classic indications of TORS are still limited mostly to partial resections of the oropharynx, hypopharynx und supraglottic larnyx. In addition to these, there has been some promising applications towards broadening the limits of robotic assisted head and neck surgery and to perform a trans oral total laryngectomy (TORTL). Using the robotic assisted transoral approach for a total laryngectomy can reduce the risk of fistula formation after salvage laryngectomy effectively, avoiding a wide apron flap and with no plane dissected between the skin and the strap muscles. Trans Axillary Robotic Surgery, or TARS, offers similar advantages through an axillary access to the outer neck: this way, the skin incision will be placed outside of the future radiation field, if the latter is indicated. The transaxillary thyroidectomy is an important step in the learning curve of robotic assisted neck dissection and other TARS-procedures, and is seen as "the gateway to the neck". The present review article provides with a summary of the published literature of this novel approach to date, i. e., transoral robotic total laryngectomy and robotic assisted neck dissection. The fusion of these 2 adds up to the concept of Robotic Combo Surgery, resulting in the ultimate combination of scarless head and neck surgery for the primary as well as for the neck.

AB - The classic indications of TORS are still limited mostly to partial resections of the oropharynx, hypopharynx und supraglottic larnyx. In addition to these, there has been some promising applications towards broadening the limits of robotic assisted head and neck surgery and to perform a trans oral total laryngectomy (TORTL). Using the robotic assisted transoral approach for a total laryngectomy can reduce the risk of fistula formation after salvage laryngectomy effectively, avoiding a wide apron flap and with no plane dissected between the skin and the strap muscles. Trans Axillary Robotic Surgery, or TARS, offers similar advantages through an axillary access to the outer neck: this way, the skin incision will be placed outside of the future radiation field, if the latter is indicated. The transaxillary thyroidectomy is an important step in the learning curve of robotic assisted neck dissection and other TARS-procedures, and is seen as "the gateway to the neck". The present review article provides with a summary of the published literature of this novel approach to date, i. e., transoral robotic total laryngectomy and robotic assisted neck dissection. The fusion of these 2 adds up to the concept of Robotic Combo Surgery, resulting in the ultimate combination of scarless head and neck surgery for the primary as well as for the neck.

KW - Combined Modality Therapy

KW - Endoscopy

KW - Fistula

KW - Humans

KW - Laryngeal Neoplasms

KW - Laryngectomy

KW - Laryngoscopy

KW - Neck Dissection

KW - Neoplasm Staging

KW - Operative Time

KW - Pharyngeal Diseases

KW - Postoperative Complications

KW - Robotics

KW - Salvage Therapy

KW - Surgery, Computer-Assisted

U2 - 10.1055/s-0033-1347203

DO - 10.1055/s-0033-1347203

M3 - SCORING: Zeitschriftenaufsatz

C2 - 23996550

VL - 92

SP - 585

EP - 588

JO - LARYNGO RHINO OTOL

JF - LARYNGO RHINO OTOL

SN - 0935-8943

IS - 9

ER -