Evaluation and application of CO 2 laser fiber delivery for single port transoral robotic surgery.

Autor: San Juan JD; UCLA David Geffen School of Medicine Department of Head and Neck Surgery, Los Angeles, California, USA., Mendelsohn AH; UCLA David Geffen School of Medicine Department of Head and Neck Surgery, Los Angeles, California, USA.
Jazyk: angličtina
Zdroj: The international journal of medical robotics + computer assisted surgery : MRCAS [Int J Med Robot] 2023 Aug; Vol. 19 (4), pp. e2510. Date of Electronic Publication: 2023 Feb 19.
DOI: 10.1002/rcs.2510
Abstrakt: Background: Transoral robotic surgery (TORS) using the Single-Port system (SPS) relies on electrocautery, limiting its applications in the upper aerodigestive tract. We evaluated the feasibility of a CO 2 delivery system for the SPS.
Methods: Otolaryngology residents performed a cutting exercise using a handheld CO 2 laser and participated in a cadaveric oropharyngeal dissection using the SPS with monopolar cautery (SP + EC) and CO 2 laser (SP + CO 2 ). Residents completed the System Usability Scale (SUS) questionnaire to evaluate these techniques.
Results: The same laser fiber was used for all combined dissections. The handheld CO 2 laser, SP + EC, and SP + CO 2 demonstrated similar SUS scores. On individual domain scores, SP + CO 2 received less favorable ratings compared to the handheld CO 2 laser for complexity, integration, and cumbersome experience (p < 0.05). On subgroup stratification, less TORS experience was associated with worse SUS scores.
Conclusion: SP-guided CO 2 laser delivery is a viable alternative to electrocautery in robotic surgery, and should be considered when performing TORS.
(© 2023 The Authors. The International Journal of Medical Robotics and Computer Assisted Surgery published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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