The First Human Trial of Transoral Robotic Surgery Using a Single-Port Robotic System in the Treatment of Laryngo-Pharyngeal Cancer
Background This study aimed to evaluate the feasibility and safety of the DaVinci SP system for performing transoral robotic surgery (TORS) in patients with head and neck cancer. Methods From October 2018 to April 2019, the medical records of 41 patients who underwent TORS using the DaVinci SP syste...
Gespeichert in:
| Veröffentlicht in: | Annals of surgical oncology 2019-12, Vol.26 (13), p.4472-4480 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 4480 |
|---|---|
| container_issue | 13 |
| container_start_page | 4472 |
| container_title | Annals of surgical oncology |
| container_volume | 26 |
| creator | Park, Young Min Kim, Da Hee Kang, Min Seok Lim, Jae Yol Choi, Eun Chang Koh, Yoon Woo Kim, Se-Heon |
| description | Background
This study aimed to evaluate the feasibility and safety of the DaVinci SP system for performing transoral robotic surgery (TORS) in patients with head and neck cancer.
Methods
From October 2018 to April 2019, the medical records of 41 patients who underwent TORS using the DaVinci SP system were retrospectively reviewed.
Results
During TORS, three robotic arms could be used to perform a geometric resection of the lesion in a narrow working space. The mean total operation time was 60 min, and the average time required to set up the robotic system was 10 min or less. All patients successfully underwent TORS. All robotic arms were inserted through a single port, which widened the working space around the patient’s head and allowed the operative assistant an easy approach to the patient during the operation. The joggle joint of the robotic arms aided easy manipulation within the confined working space. The joggle joints of the endoscopic arm were controlled through the navigation system, which was very helpful in securing superior visualization of the surgical site, especially in the area of the larynx and the hypopharynx.
Conclusion
The study confirmed that the DaVinci SP system provided technical advantages above the Si and Xi systems for performing TORS. It was especially helpful in ensuring proper visualization of the surgical field and in performing precise surgery during surgery to the tongue base or the hypopharyngeal lesion. |
| doi_str_mv | 10.1245/s10434-019-07802-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_osti_</sourceid><recordid>TN_cdi_osti_scitechconnect_22927470</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2287210721</sourcerecordid><originalsourceid>FETCH-LOGICAL-c469t-13ce551f94881c1975448a71cbe52b60449d3703298eea31431c729f6b0a31323</originalsourceid><addsrcrecordid>eNp9kU1v1DAQhi0EomXhD3BAlrhwSfFXYueIVpRWWomKbs-W4052UyV2sZ3DnvnjzDale0M-zIz9zGt7XkI-cnbBhaq_Zs6UVBXjbcW0YaJir8g5r3FLNYa_xpw1pmpFU5-Rdzk_MMa1ZPVbciZ5zQSuc_Jnuwd6OaRc6NU8uUC3aXAjjT0mLuSYsPgVu1gGT2_ntIN0oHd5CDvq6C2GEaqbmMqJOeQCEx0CLSi8TeDKBKEcBTcuHcIuVjf7pwRQee2Ch_SevOndmOHDc1yRu8vv2_VVtfn543r9bVN51bSl4tJDXfO-VcZwz1tdK2Wc5r6DWnQNU6q9l5pJ0RoAJ7mS3GvR9k3HsJJCrsjnRTfmMtjshwJ-72MI4IsVohVaYfuKfFmoxxR_z5CLnYbsYRxdgDhnBI1hTAttToIv6EOcU8A_HCktOGIcKbFQPsWcE_T2MQ0TzsByZo9G2sVIi0baJyPt8RWfnqXnboL7l5Z_ziEgFyDjEU4zne7-j-xfubumYA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2287210721</pqid></control><display><type>article</type><title>The First Human Trial of Transoral Robotic Surgery Using a Single-Port Robotic System in the Treatment of Laryngo-Pharyngeal Cancer</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Park, Young Min ; Kim, Da Hee ; Kang, Min Seok ; Lim, Jae Yol ; Choi, Eun Chang ; Koh, Yoon Woo ; Kim, Se-Heon</creator><creatorcontrib>Park, Young Min ; Kim, Da Hee ; Kang, Min Seok ; Lim, Jae Yol ; Choi, Eun Chang ; Koh, Yoon Woo ; Kim, Se-Heon</creatorcontrib><description>Background
This study aimed to evaluate the feasibility and safety of the DaVinci SP system for performing transoral robotic surgery (TORS) in patients with head and neck cancer.
Methods
From October 2018 to April 2019, the medical records of 41 patients who underwent TORS using the DaVinci SP system were retrospectively reviewed.
Results
During TORS, three robotic arms could be used to perform a geometric resection of the lesion in a narrow working space. The mean total operation time was 60 min, and the average time required to set up the robotic system was 10 min or less. All patients successfully underwent TORS. All robotic arms were inserted through a single port, which widened the working space around the patient’s head and allowed the operative assistant an easy approach to the patient during the operation. The joggle joint of the robotic arms aided easy manipulation within the confined working space. The joggle joints of the endoscopic arm were controlled through the navigation system, which was very helpful in securing superior visualization of the surgical site, especially in the area of the larynx and the hypopharynx.
Conclusion
The study confirmed that the DaVinci SP system provided technical advantages above the Si and Xi systems for performing TORS. It was especially helpful in ensuring proper visualization of the surgical field and in performing precise surgery during surgery to the tongue base or the hypopharyngeal lesion.</description><identifier>ISSN: 1068-9265</identifier><identifier>ISSN: 1534-4681</identifier><identifier>EISSN: 1534-4681</identifier><identifier>DOI: 10.1245/s10434-019-07802-0</identifier><identifier>PMID: 31502020</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adult ; Aged ; Arm ; Feasibility Studies ; Female ; HEAD ; Head & neck cancer ; Head and Neck Oncology ; Humans ; Hypopharynx ; Laryngeal Neoplasms - surgery ; LARYNX ; Male ; MEDICAL RECORDS ; Medicine ; Medicine & Public Health ; Middle Aged ; NECK ; NEOPLASMS ; Oncology ; Patient Safety ; PATIENTS ; Pharyngeal Neoplasms - surgery ; Pharynx ; RADIOLOGY AND NUCLEAR MEDICINE ; Republic of Korea ; Retrospective Studies ; Robotic surgery ; Robotic Surgical Procedures ; ROBOTS ; SURGERY ; Surgical Oncology ; Throat cancer</subject><ispartof>Annals of surgical oncology, 2019-12, Vol.26 (13), p.4472-4480</ispartof><rights>Society of Surgical Oncology 2019</rights><rights>Annals of Surgical Oncology is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c469t-13ce551f94881c1975448a71cbe52b60449d3703298eea31431c729f6b0a31323</citedby><cites>FETCH-LOGICAL-c469t-13ce551f94881c1975448a71cbe52b60449d3703298eea31431c729f6b0a31323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1245/s10434-019-07802-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1245/s10434-019-07802-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31502020$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/22927470$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Park, Young Min</creatorcontrib><creatorcontrib>Kim, Da Hee</creatorcontrib><creatorcontrib>Kang, Min Seok</creatorcontrib><creatorcontrib>Lim, Jae Yol</creatorcontrib><creatorcontrib>Choi, Eun Chang</creatorcontrib><creatorcontrib>Koh, Yoon Woo</creatorcontrib><creatorcontrib>Kim, Se-Heon</creatorcontrib><title>The First Human Trial of Transoral Robotic Surgery Using a Single-Port Robotic System in the Treatment of Laryngo-Pharyngeal Cancer</title><title>Annals of surgical oncology</title><addtitle>Ann Surg Oncol</addtitle><addtitle>Ann Surg Oncol</addtitle><description>Background
This study aimed to evaluate the feasibility and safety of the DaVinci SP system for performing transoral robotic surgery (TORS) in patients with head and neck cancer.
Methods
From October 2018 to April 2019, the medical records of 41 patients who underwent TORS using the DaVinci SP system were retrospectively reviewed.
Results
During TORS, three robotic arms could be used to perform a geometric resection of the lesion in a narrow working space. The mean total operation time was 60 min, and the average time required to set up the robotic system was 10 min or less. All patients successfully underwent TORS. All robotic arms were inserted through a single port, which widened the working space around the patient’s head and allowed the operative assistant an easy approach to the patient during the operation. The joggle joint of the robotic arms aided easy manipulation within the confined working space. The joggle joints of the endoscopic arm were controlled through the navigation system, which was very helpful in securing superior visualization of the surgical site, especially in the area of the larynx and the hypopharynx.
Conclusion
The study confirmed that the DaVinci SP system provided technical advantages above the Si and Xi systems for performing TORS. It was especially helpful in ensuring proper visualization of the surgical field and in performing precise surgery during surgery to the tongue base or the hypopharyngeal lesion.</description><subject>Adult</subject><subject>Aged</subject><subject>Arm</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>HEAD</subject><subject>Head & neck cancer</subject><subject>Head and Neck Oncology</subject><subject>Humans</subject><subject>Hypopharynx</subject><subject>Laryngeal Neoplasms - surgery</subject><subject>LARYNX</subject><subject>Male</subject><subject>MEDICAL RECORDS</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>NECK</subject><subject>NEOPLASMS</subject><subject>Oncology</subject><subject>Patient Safety</subject><subject>PATIENTS</subject><subject>Pharyngeal Neoplasms - surgery</subject><subject>Pharynx</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>Republic of Korea</subject><subject>Retrospective Studies</subject><subject>Robotic surgery</subject><subject>Robotic Surgical Procedures</subject><subject>ROBOTS</subject><subject>SURGERY</subject><subject>Surgical Oncology</subject><subject>Throat cancer</subject><issn>1068-9265</issn><issn>1534-4681</issn><issn>1534-4681</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU1v1DAQhi0EomXhD3BAlrhwSfFXYueIVpRWWomKbs-W4052UyV2sZ3DnvnjzDale0M-zIz9zGt7XkI-cnbBhaq_Zs6UVBXjbcW0YaJir8g5r3FLNYa_xpw1pmpFU5-Rdzk_MMa1ZPVbciZ5zQSuc_Jnuwd6OaRc6NU8uUC3aXAjjT0mLuSYsPgVu1gGT2_ntIN0oHd5CDvq6C2GEaqbmMqJOeQCEx0CLSi8TeDKBKEcBTcuHcIuVjf7pwRQee2Ch_SevOndmOHDc1yRu8vv2_VVtfn543r9bVN51bSl4tJDXfO-VcZwz1tdK2Wc5r6DWnQNU6q9l5pJ0RoAJ7mS3GvR9k3HsJJCrsjnRTfmMtjshwJ-72MI4IsVohVaYfuKfFmoxxR_z5CLnYbsYRxdgDhnBI1hTAttToIv6EOcU8A_HCktOGIcKbFQPsWcE_T2MQ0TzsByZo9G2sVIi0baJyPt8RWfnqXnboL7l5Z_ziEgFyDjEU4zne7-j-xfubumYA</recordid><startdate>20191201</startdate><enddate>20191201</enddate><creator>Park, Young Min</creator><creator>Kim, Da Hee</creator><creator>Kang, Min Seok</creator><creator>Lim, Jae Yol</creator><creator>Choi, Eun Chang</creator><creator>Koh, Yoon Woo</creator><creator>Kim, Se-Heon</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>OTOTI</scope></search><sort><creationdate>20191201</creationdate><title>The First Human Trial of Transoral Robotic Surgery Using a Single-Port Robotic System in the Treatment of Laryngo-Pharyngeal Cancer</title><author>Park, Young Min ; Kim, Da Hee ; Kang, Min Seok ; Lim, Jae Yol ; Choi, Eun Chang ; Koh, Yoon Woo ; Kim, Se-Heon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c469t-13ce551f94881c1975448a71cbe52b60449d3703298eea31431c729f6b0a31323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arm</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>HEAD</topic><topic>Head & neck cancer</topic><topic>Head and Neck Oncology</topic><topic>Humans</topic><topic>Hypopharynx</topic><topic>Laryngeal Neoplasms - surgery</topic><topic>LARYNX</topic><topic>Male</topic><topic>MEDICAL RECORDS</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>NECK</topic><topic>NEOPLASMS</topic><topic>Oncology</topic><topic>Patient Safety</topic><topic>PATIENTS</topic><topic>Pharyngeal Neoplasms - surgery</topic><topic>Pharynx</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>Republic of Korea</topic><topic>Retrospective Studies</topic><topic>Robotic surgery</topic><topic>Robotic Surgical Procedures</topic><topic>ROBOTS</topic><topic>SURGERY</topic><topic>Surgical Oncology</topic><topic>Throat cancer</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Park, Young Min</creatorcontrib><creatorcontrib>Kim, Da Hee</creatorcontrib><creatorcontrib>Kang, Min Seok</creatorcontrib><creatorcontrib>Lim, Jae Yol</creatorcontrib><creatorcontrib>Choi, Eun Chang</creatorcontrib><creatorcontrib>Koh, Yoon Woo</creatorcontrib><creatorcontrib>Kim, Se-Heon</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>Annals of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Park, Young Min</au><au>Kim, Da Hee</au><au>Kang, Min Seok</au><au>Lim, Jae Yol</au><au>Choi, Eun Chang</au><au>Koh, Yoon Woo</au><au>Kim, Se-Heon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The First Human Trial of Transoral Robotic Surgery Using a Single-Port Robotic System in the Treatment of Laryngo-Pharyngeal Cancer</atitle><jtitle>Annals of surgical oncology</jtitle><stitle>Ann Surg Oncol</stitle><addtitle>Ann Surg Oncol</addtitle><date>2019-12-01</date><risdate>2019</risdate><volume>26</volume><issue>13</issue><spage>4472</spage><epage>4480</epage><pages>4472-4480</pages><issn>1068-9265</issn><issn>1534-4681</issn><eissn>1534-4681</eissn><abstract>Background
This study aimed to evaluate the feasibility and safety of the DaVinci SP system for performing transoral robotic surgery (TORS) in patients with head and neck cancer.
Methods
From October 2018 to April 2019, the medical records of 41 patients who underwent TORS using the DaVinci SP system were retrospectively reviewed.
Results
During TORS, three robotic arms could be used to perform a geometric resection of the lesion in a narrow working space. The mean total operation time was 60 min, and the average time required to set up the robotic system was 10 min or less. All patients successfully underwent TORS. All robotic arms were inserted through a single port, which widened the working space around the patient’s head and allowed the operative assistant an easy approach to the patient during the operation. The joggle joint of the robotic arms aided easy manipulation within the confined working space. The joggle joints of the endoscopic arm were controlled through the navigation system, which was very helpful in securing superior visualization of the surgical site, especially in the area of the larynx and the hypopharynx.
Conclusion
The study confirmed that the DaVinci SP system provided technical advantages above the Si and Xi systems for performing TORS. It was especially helpful in ensuring proper visualization of the surgical field and in performing precise surgery during surgery to the tongue base or the hypopharyngeal lesion.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>31502020</pmid><doi>10.1245/s10434-019-07802-0</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1068-9265 |
| ispartof | Annals of surgical oncology, 2019-12, Vol.26 (13), p.4472-4480 |
| issn | 1068-9265 1534-4681 1534-4681 |
| language | eng |
| recordid | cdi_osti_scitechconnect_22927470 |
| source | MEDLINE; SpringerLink Journals |
| subjects | Adult Aged Arm Feasibility Studies Female HEAD Head & neck cancer Head and Neck Oncology Humans Hypopharynx Laryngeal Neoplasms - surgery LARYNX Male MEDICAL RECORDS Medicine Medicine & Public Health Middle Aged NECK NEOPLASMS Oncology Patient Safety PATIENTS Pharyngeal Neoplasms - surgery Pharynx RADIOLOGY AND NUCLEAR MEDICINE Republic of Korea Retrospective Studies Robotic surgery Robotic Surgical Procedures ROBOTS SURGERY Surgical Oncology Throat cancer |
| title | The First Human Trial of Transoral Robotic Surgery Using a Single-Port Robotic System in the Treatment of Laryngo-Pharyngeal Cancer |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T03%3A14%3A53IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_osti_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20First%20Human%20Trial%20of%20Transoral%20Robotic%20Surgery%20Using%20a%20Single-Port%20Robotic%20System%20in%20the%20Treatment%20of%20Laryngo-Pharyngeal%20Cancer&rft.jtitle=Annals%20of%20surgical%20oncology&rft.au=Park,%20Young%20Min&rft.date=2019-12-01&rft.volume=26&rft.issue=13&rft.spage=4472&rft.epage=4480&rft.pages=4472-4480&rft.issn=1068-9265&rft.eissn=1534-4681&rft_id=info:doi/10.1245/s10434-019-07802-0&rft_dat=%3Cproquest_osti_%3E2287210721%3C/proquest_osti_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2287210721&rft_id=info:pmid/31502020&rfr_iscdi=true |