Transoral robotic surgery hypopharyngectomy (TORSH): feasibility and outcomes
| Autor: | Gilles Delahaut, Georges Lawson, Sébastien Van der Vorst, Jérôme Ambroise, Samantha Hassid |
|---|---|
| Přispěvatelé: | UCL - (MGD) Service d'oto-rhino-laryngologie, UCL - SSS/IREC/CARS - Computer Assisted Robotic Surgery, UCL - SSS/IREC/MONT - Pôle Mont Godinne |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Transoral medicine.medical_treatment Fistula 03 medical and health sciences 0302 clinical medicine Robotic Surgical Procedures Swallowing Transoral robotic surgery medicine Overall survival Humans Robotic surgery Head and neck tumors 030223 otorhinolaryngology Retrospective Studies Hypopharyngeal Neoplasms business.industry General Medicine medicine.disease Gastrostomy Surgery Hypopharynx Treatment Outcome Oncology Otorhinolaryngology 030220 oncology & carcinogenesis Carcinoma Squamous Cell Feasibility Studies Neurosurgery business |
| Zdroj: | European archives of oto-rhino-laryngology, Vol. 277, no. 10, p. 2883-2892 (2020) |
| ISSN: | 1434-4726 0937-4477 |
| Popis: | PURPOSE: With the development of minimal invasive procedure, trans-oral robotic surgery (TORS) is expanding in the field of ENT. Most reviews focus on oropharyngeal and laryngeal (supra-glottic) localization. We report here the feasibility and outcomes of TORS hypopharyngectomy (TORSH) for selected patients with hypopharyngeal tumor. METHODS: Between September 2009 and July 2017, 22 patients, retrospectively included, underwent TORSH with curative intent. RESULTS: From 22 successful hypopharyngectomy, no conversion to open procedure was needed. Three patients (13%) presented a post-operative bleeding and were managed by surgical revision. No fistula was encountered. The 3-year overall survival and disease-specific survival rates were 54 and 92%, respectively. Patients started oral feeding after an average of 7 days. Naso-gastric feeding tubes were removed after a median period of 16 days. Two patients (9%) needed a transient gastrostomy (< 1 year). Three patients (13%) received a transient tracheostomy (< 2 months). Median hospitalization stay was 13 days. CONCLUSIONS: TORSH is a safe technique. Patients' outcomes are favorable and the post-operative morbidity is reduced compared to open neck approach. Hospitalization length and safe swallowing time are reduced. |
| Databáze: | OpenAIRE |
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