Early adoption of transoral robotic surgical program: preliminary outcomes.
Publication/Presentation Date
9-1-2012
Abstract
OBJECTIVE: The objective of this study is to demonstrate the feasibility and safety of establishing a transoral robotic surgical (TORS) program in the post-Food and Drug Administration (FDA) approval setting. Early outcomes are compared with the previously reported results of pioneering centers.
STUDY DESIGN: Clinical data from a prospective TORS study.
SETTING: Academic university institution.
SUBJECTS AND METHODS: Sixty-one patients treated with 63 TORS procedures.
MAIN OUTCOME MEASURES: intraoperative times, margin status, complications, time to diet, and percutaneous endoscopic gastrostomy (PEG) tube retention rate. The authors also report oncologic outcomes on their first 30 patients.
RESULTS: The spectrum of subsites included tongue base, tonsil, parapharyngeal space, retromolar trigone, supraglottis, and posterior pharyngeal wall. Surgical console time averaged 79 ± 53 minutes. After re-resection of 4 patients, final negative margin status was 94% (50/53). A subset of 30 patients with squamous cell carcinoma reaching an average of 18 months of follow-up had a local regional control rate of 97% with a disease-free survival rate of 90%. The PEG tube retention rate was 7%. Complications included 2 readmissions with dehydration, 1 aspiration pneumonia, and 2 with minor oropharyngeal bleeding. Ninety-one percent of patients resumed an oral diet by the first postoperative visit.
CONCLUSION: The initiation of a TORS program in the post-FDA setting can be achieved in a safe and efficient manner. Early results of pioneering TORS centers are reproducible. Continued investigation of TORS as a treatment option for oropharyngeal carcinoma is warranted.
Volume
147
Issue
3
First Page
482
Last Page
488
ISSN
1097-6817
Published In/Presented At
Cognetti, D. M., Luginbuhl, A. J., Nguyen, A. L., & Curry, J. M. (2012). Early adoption of transoral robotic surgical program: preliminary outcomes. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 147(3), 482–488. https://doi.org/10.1177/0194599812443353
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
22496060
Department(s)
Administration and Leadership
Document Type
Article