National Analysis of Oropharyngeal Salivary Gland Malignancies Treated With Transoral Robotic Surgery

Autor: Kevin Wang, Craig A. Bollig, Pablo Llerena, Patrik Pipkorn, Ryan S. Jackson, Sidharth V. Puram, Vanessa C. Stubbs
Rok vydání: 2021
Předmět:
Zdroj: Otolaryngology–Head and Neck Surgery. 166:886-893
ISSN: 1097-6817
0194-5998
DOI: 10.1177/01945998211031161
Popis: (1) To compare perioperative outcomes and overall survival of patients with oropharyngeal salivary gland malignancies (OPSGMs) treated with transoral robotic surgery (TORS) versus other approaches. (2) To identify clinical factors associated with a robotic surgical approach.Retrospective analysis of the National Cancer Database (NCDB).NCDB.Data obtained from the NCDB were analyzed between 2010 and 2017 for patients with T1-T4a OPSGMs without distant metastases treated surgically. Patients were stratified by surgical approach (TORS vs nonrobotic), and clinicopathologic factors were compared with theA total of 785 patients were analyzed. A non-soft palate primary site (odds ratio, 12.9; 95% CI, 6.6-25.2) and treatment at an academic facility (odds ratio, 2.0; 95% CI, 1.2-3.5) were independently associated with TORS. There were no significant differences in the positive margin rate, 30-day mortality, or overall survival between the groups. The 30-day unplanned readmission rate was higher in patients treated with TORS versus nonrobotic resections (5.8% vs 1.7%,This study suggests that TORS may be a viable treatment modality for appropriately selected patients with OPSGM.
Databáze: OpenAIRE
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