Transoral Robotic Cordectomy for Early Glottic Carcinoma
Objectives We assessed the feasibility, safety, and efficacy of transoral cordectomy performed for early glottic cancer with the da Vinci Surgical System. Methods Subjects with early cancer of the vocal cords who were treated with transoral robot-assisted cordectomy were included for study. Data reg...
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| Veröffentlicht in: | Annals of otology, rhinology & laryngology rhinology & laryngology, 2012-08, Vol.121 (8), p.497-502 |
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| creator | Kayhan, Fatma Tülin Kaya, Kamil Hakan Sayin, Ibrahim |
| description | Objectives
We assessed the feasibility, safety, and efficacy of transoral cordectomy performed for early glottic cancer with the da Vinci Surgical System.
Methods
Subjects with early cancer of the vocal cords who were treated with transoral robot-assisted cordectomy were included for study. Data regarding the ability to perform robot-assisted resection, volume of blood loss, robotic operating time, pathological margin status, postoperative extubation, complications, length of hospitalization, duration until start of oral nutrition, and need for a tracheotomy were evaluated.
Results
Ten men with T1 glottic carcinoma underwent successful transoral robotic cordectomy with negative margins. The mean total robotic surgery time was 21.6 ± 6.75 minutes (range, 10 to 31 minutes). In all cases, the total blood loss was less than 20 mL. One subject needed a short-term tracheotomy and a nasogastric tube. The other 9 subjects started oral nutrition 6 to 24 hours after operation. The mean duration of hospitalization was 4.1 ± 2.23 days.
Conclusions
Transoral robotic cordectomy with the da Vinci Surgical System was found to be feasible, relatively safe, and effective. The lower morbidity rate was an advantage of this method. Transoral robotic surgery provides better exposure, visualization, and access than does transoral laser microsurgery. Cordectomy with transoral robotic surgery should be an alternative to external-approach cordectomy and transoral laser microsurgery. |
| doi_str_mv | 10.1177/000348941212100801 |
| format | Article |
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We assessed the feasibility, safety, and efficacy of transoral cordectomy performed for early glottic cancer with the da Vinci Surgical System.
Methods
Subjects with early cancer of the vocal cords who were treated with transoral robot-assisted cordectomy were included for study. Data regarding the ability to perform robot-assisted resection, volume of blood loss, robotic operating time, pathological margin status, postoperative extubation, complications, length of hospitalization, duration until start of oral nutrition, and need for a tracheotomy were evaluated.
Results
Ten men with T1 glottic carcinoma underwent successful transoral robotic cordectomy with negative margins. The mean total robotic surgery time was 21.6 ± 6.75 minutes (range, 10 to 31 minutes). In all cases, the total blood loss was less than 20 mL. One subject needed a short-term tracheotomy and a nasogastric tube. The other 9 subjects started oral nutrition 6 to 24 hours after operation. The mean duration of hospitalization was 4.1 ± 2.23 days.
Conclusions
Transoral robotic cordectomy with the da Vinci Surgical System was found to be feasible, relatively safe, and effective. The lower morbidity rate was an advantage of this method. Transoral robotic surgery provides better exposure, visualization, and access than does transoral laser microsurgery. Cordectomy with transoral robotic surgery should be an alternative to external-approach cordectomy and transoral laser microsurgery.</description><identifier>ISSN: 0003-4894</identifier><identifier>EISSN: 1943-572X</identifier><identifier>DOI: 10.1177/000348941212100801</identifier><identifier>PMID: 22953654</identifier><identifier>CODEN: AORHA2</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Blood Loss, Surgical ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - surgery ; Feasibility Studies ; Humans ; Intubation ; Intubation, Gastrointestinal ; Laryngeal Neoplasms - pathology ; Laryngeal Neoplasms - surgery ; Larynx ; Lasers ; Length of Stay - statistics & numerical data ; Male ; Medical sciences ; Microsurgery ; Middle Aged ; Morbidity ; Otolaryngology ; Otorhinolaryngology. Stomatology ; Robotics ; Robots ; Surgery ; Surgical apparatus & instruments ; Time Factors ; Tumors ; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology ; Vocal Cords - surgery</subject><ispartof>Annals of otology, rhinology & laryngology, 2012-08, Vol.121 (8), p.497-502</ispartof><rights>2012 SAGE Publications</rights><rights>2015 INIST-CNRS</rights><rights>Copyright Annals Publishing Company Aug 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c467t-8680b339b44311e34dac87c6459b9415ed31dd64c559e56157fab69d6aaf99433</citedby><cites>FETCH-LOGICAL-c467t-8680b339b44311e34dac87c6459b9415ed31dd64c559e56157fab69d6aaf99433</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/000348941212100801$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/000348941212100801$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26276000$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22953654$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kayhan, Fatma Tülin</creatorcontrib><creatorcontrib>Kaya, Kamil Hakan</creatorcontrib><creatorcontrib>Sayin, Ibrahim</creatorcontrib><title>Transoral Robotic Cordectomy for Early Glottic Carcinoma</title><title>Annals of otology, rhinology & laryngology</title><addtitle>Ann Otol Rhinol Laryngol</addtitle><description>Objectives
We assessed the feasibility, safety, and efficacy of transoral cordectomy performed for early glottic cancer with the da Vinci Surgical System.
Methods
Subjects with early cancer of the vocal cords who were treated with transoral robot-assisted cordectomy were included for study. Data regarding the ability to perform robot-assisted resection, volume of blood loss, robotic operating time, pathological margin status, postoperative extubation, complications, length of hospitalization, duration until start of oral nutrition, and need for a tracheotomy were evaluated.
Results
Ten men with T1 glottic carcinoma underwent successful transoral robotic cordectomy with negative margins. The mean total robotic surgery time was 21.6 ± 6.75 minutes (range, 10 to 31 minutes). In all cases, the total blood loss was less than 20 mL. One subject needed a short-term tracheotomy and a nasogastric tube. The other 9 subjects started oral nutrition 6 to 24 hours after operation. The mean duration of hospitalization was 4.1 ± 2.23 days.
Conclusions
Transoral robotic cordectomy with the da Vinci Surgical System was found to be feasible, relatively safe, and effective. The lower morbidity rate was an advantage of this method. Transoral robotic surgery provides better exposure, visualization, and access than does transoral laser microsurgery. Cordectomy with transoral robotic surgery should be an alternative to external-approach cordectomy and transoral laser microsurgery.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Blood Loss, Surgical</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Feasibility Studies</subject><subject>Humans</subject><subject>Intubation</subject><subject>Intubation, Gastrointestinal</subject><subject>Laryngeal Neoplasms - pathology</subject><subject>Laryngeal Neoplasms - surgery</subject><subject>Larynx</subject><subject>Lasers</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microsurgery</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Otolaryngology</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Robotics</subject><subject>Robots</subject><subject>Surgery</subject><subject>Surgical apparatus & instruments</subject><subject>Time Factors</subject><subject>Tumors</subject><subject>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><subject>Vocal Cords - surgery</subject><issn>0003-4894</issn><issn>1943-572X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp10F1LwzAUBuAgipvTP-CFFETwpi7fbS5lzCkMBJngXTlNU-lom5m0F_v3pm5-oEguQsiTk3NehM4JviEkSaYYY8ZTxQkNC-MUkwM0JoqzWCT05RCNBxAPYoROvF-HIxeYHqMRpUowKfgYpSsHrbcO6ujJ5rardDSzrjC6s802Kq2L5uDqbbSobfdxCU5XrW3gFB2VUHtztt8n6Pluvprdx8vHxcPsdhlrLpMuTmWKc8ZUzjkjxDBegE4TLblQeehcmIKRopBcC6GMkEQkJeRSFRKgVGEUNkHXu7obZ99647usqbw2dQ2tsb3PCGapUDJMFujlL7q2vWtDd4NiFHOpcFB0p7Sz3jtTZhtXNeC2AWVDrtnfXMOji33pPm9M8fXkM8gArvYAvIa6DKnqyn87SRM51J2g6c55eDU_-_v363er64nY</recordid><startdate>20120801</startdate><enddate>20120801</enddate><creator>Kayhan, Fatma Tülin</creator><creator>Kaya, Kamil Hakan</creator><creator>Sayin, Ibrahim</creator><general>SAGE Publications</general><general>Annals Publishing Compagny</general><general>SAGE PUBLICATIONS, INC</general><scope>IQODW</scope><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>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>20120801</creationdate><title>Transoral Robotic Cordectomy for Early Glottic Carcinoma</title><author>Kayhan, Fatma Tülin ; Kaya, Kamil Hakan ; Sayin, Ibrahim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c467t-8680b339b44311e34dac87c6459b9415ed31dd64c559e56157fab69d6aaf99433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Blood Loss, Surgical</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>Carcinoma, Squamous Cell - surgery</topic><topic>Feasibility Studies</topic><topic>Humans</topic><topic>Intubation</topic><topic>Intubation, Gastrointestinal</topic><topic>Laryngeal Neoplasms - pathology</topic><topic>Laryngeal Neoplasms - surgery</topic><topic>Larynx</topic><topic>Lasers</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Microsurgery</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Otolaryngology</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Robotics</topic><topic>Robots</topic><topic>Surgery</topic><topic>Surgical apparatus & instruments</topic><topic>Time Factors</topic><topic>Tumors</topic><topic>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</topic><topic>Vocal Cords - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kayhan, Fatma Tülin</creatorcontrib><creatorcontrib>Kaya, Kamil Hakan</creatorcontrib><creatorcontrib>Sayin, Ibrahim</creatorcontrib><collection>Pascal-Francis</collection><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>Nursing & Allied Health Database (ProQuest)</collection><collection>Health & Medicine (ProQuest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</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)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Science Journals</collection><collection>Nursing & Allied Health Premium</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>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Annals of otology, rhinology & laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kayhan, Fatma Tülin</au><au>Kaya, Kamil Hakan</au><au>Sayin, Ibrahim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transoral Robotic Cordectomy for Early Glottic Carcinoma</atitle><jtitle>Annals of otology, rhinology & laryngology</jtitle><addtitle>Ann Otol Rhinol Laryngol</addtitle><date>2012-08-01</date><risdate>2012</risdate><volume>121</volume><issue>8</issue><spage>497</spage><epage>502</epage><pages>497-502</pages><issn>0003-4894</issn><eissn>1943-572X</eissn><coden>AORHA2</coden><abstract>Objectives
We assessed the feasibility, safety, and efficacy of transoral cordectomy performed for early glottic cancer with the da Vinci Surgical System.
Methods
Subjects with early cancer of the vocal cords who were treated with transoral robot-assisted cordectomy were included for study. Data regarding the ability to perform robot-assisted resection, volume of blood loss, robotic operating time, pathological margin status, postoperative extubation, complications, length of hospitalization, duration until start of oral nutrition, and need for a tracheotomy were evaluated.
Results
Ten men with T1 glottic carcinoma underwent successful transoral robotic cordectomy with negative margins. The mean total robotic surgery time was 21.6 ± 6.75 minutes (range, 10 to 31 minutes). In all cases, the total blood loss was less than 20 mL. One subject needed a short-term tracheotomy and a nasogastric tube. The other 9 subjects started oral nutrition 6 to 24 hours after operation. The mean duration of hospitalization was 4.1 ± 2.23 days.
Conclusions
Transoral robotic cordectomy with the da Vinci Surgical System was found to be feasible, relatively safe, and effective. The lower morbidity rate was an advantage of this method. Transoral robotic surgery provides better exposure, visualization, and access than does transoral laser microsurgery. Cordectomy with transoral robotic surgery should be an alternative to external-approach cordectomy and transoral laser microsurgery.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>22953654</pmid><doi>10.1177/000348941212100801</doi><tpages>6</tpages></addata></record> |
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| ispartof | Annals of otology, rhinology & laryngology, 2012-08, Vol.121 (8), p.497-502 |
| issn | 0003-4894 1943-572X |
| language | eng |
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| source | SAGE Publications; MEDLINE |
| subjects | Adult Aged Biological and medical sciences Blood Loss, Surgical Carcinoma, Squamous Cell - pathology Carcinoma, Squamous Cell - surgery Feasibility Studies Humans Intubation Intubation, Gastrointestinal Laryngeal Neoplasms - pathology Laryngeal Neoplasms - surgery Larynx Lasers Length of Stay - statistics & numerical data Male Medical sciences Microsurgery Middle Aged Morbidity Otolaryngology Otorhinolaryngology. Stomatology Robotics Robots Surgery Surgical apparatus & instruments Time Factors Tumors Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology Vocal Cords - surgery |
| title | Transoral Robotic Cordectomy for Early Glottic Carcinoma |
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