Long‐term results of robotic‐assisted nasopharyngectomy for recurrent nasopharyngeal carcinoma

Background We have previously reported our early experience in robotic‐assisted nasopharyngectomy. The current case series is a report of our experience in 33 robotic‐assisted nasopharyngectomy. Methods Prospective series of patients who underwent robotic‐assisted nasopharyngectomy for local recurre...

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Veröffentlicht in:Head & neck 2022-08, Vol.44 (8), p.1940-1947
Hauptverfasser: Tsang, Raymond K., Chan, Walter C. P., Holsinger, Floyd Christopher, Chung, Joseph C. K., Chow, Velda L. Y., Chan, Jimmy Y. W., Ho, Wai‐Kuen, Wei, William I.
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container_end_page 1947
container_issue 8
container_start_page 1940
container_title Head & neck
container_volume 44
creator Tsang, Raymond K.
Chan, Walter C. P.
Holsinger, Floyd Christopher
Chung, Joseph C. K.
Chow, Velda L. Y.
Chan, Jimmy Y. W.
Ho, Wai‐Kuen
Wei, William I.
description Background We have previously reported our early experience in robotic‐assisted nasopharyngectomy. The current case series is a report of our experience in 33 robotic‐assisted nasopharyngectomy. Methods Prospective series of patients who underwent robotic‐assisted nasopharyngectomy for local recurrent nasopharyngeal carcinoma from January 2010 to March 2019. Results Thirty‐one patients underwent robotic‐assisted nasopharyngectomy with two additional second procedure for positive margin. Median age is 55 years (29–85). Twenty‐five patients had rT1 disease and six patients had tumor invaded sphenoid floor (rT3). Median operative time was 227 min and median blood loss was 200 ml. The median follow‐up period for all patients were 38 months. Four patients had local recurrence. Five‐year local control rate, overall survival, and disease‐free survival are 85.1%, 55.7%, and 69.1%, respectively. Conclusion Robotic‐assisted nasopharyngectomy for recurrent nasopharyngectomy was showed to have a high local control rate. The operating time was comparable to open surgery.
doi_str_mv 10.1002/hed.27115
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P. ; Holsinger, Floyd Christopher ; Chung, Joseph C. K. ; Chow, Velda L. Y. ; Chan, Jimmy Y. W. ; Ho, Wai‐Kuen ; Wei, William I.</creator><creatorcontrib>Tsang, Raymond K. ; Chan, Walter C. P. ; Holsinger, Floyd Christopher ; Chung, Joseph C. K. ; Chow, Velda L. Y. ; Chan, Jimmy Y. W. ; Ho, Wai‐Kuen ; Wei, William I.</creatorcontrib><description>Background We have previously reported our early experience in robotic‐assisted nasopharyngectomy. The current case series is a report of our experience in 33 robotic‐assisted nasopharyngectomy. Methods Prospective series of patients who underwent robotic‐assisted nasopharyngectomy for local recurrent nasopharyngeal carcinoma from January 2010 to March 2019. Results Thirty‐one patients underwent robotic‐assisted nasopharyngectomy with two additional second procedure for positive margin. Median age is 55 years (29–85). Twenty‐five patients had rT1 disease and six patients had tumor invaded sphenoid floor (rT3). Median operative time was 227 min and median blood loss was 200 ml. The median follow‐up period for all patients were 38 months. Four patients had local recurrence. Five‐year local control rate, overall survival, and disease‐free survival are 85.1%, 55.7%, and 69.1%, respectively. Conclusion Robotic‐assisted nasopharyngectomy for recurrent nasopharyngectomy was showed to have a high local control rate. 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P.</creatorcontrib><creatorcontrib>Holsinger, Floyd Christopher</creatorcontrib><creatorcontrib>Chung, Joseph C. K.</creatorcontrib><creatorcontrib>Chow, Velda L. Y.</creatorcontrib><creatorcontrib>Chan, Jimmy Y. W.</creatorcontrib><creatorcontrib>Ho, Wai‐Kuen</creatorcontrib><creatorcontrib>Wei, William I.</creatorcontrib><title>Long‐term results of robotic‐assisted nasopharyngectomy for recurrent nasopharyngeal carcinoma</title><title>Head &amp; neck</title><addtitle>Head Neck</addtitle><description>Background We have previously reported our early experience in robotic‐assisted nasopharyngectomy. The current case series is a report of our experience in 33 robotic‐assisted nasopharyngectomy. Methods Prospective series of patients who underwent robotic‐assisted nasopharyngectomy for local recurrent nasopharyngeal carcinoma from January 2010 to March 2019. Results Thirty‐one patients underwent robotic‐assisted nasopharyngectomy with two additional second procedure for positive margin. Median age is 55 years (29–85). Twenty‐five patients had rT1 disease and six patients had tumor invaded sphenoid floor (rT3). Median operative time was 227 min and median blood loss was 200 ml. The median follow‐up period for all patients were 38 months. Four patients had local recurrence. Five‐year local control rate, overall survival, and disease‐free survival are 85.1%, 55.7%, and 69.1%, respectively. Conclusion Robotic‐assisted nasopharyngectomy for recurrent nasopharyngectomy was showed to have a high local control rate. The operating time was comparable to open surgery.</description><subject>Early experience</subject><subject>minimally invasive skull base surgery</subject><subject>Nasopharyngeal carcinoma</subject><subject>nasopharyngectomy</subject><subject>Patients</subject><subject>Robotic surgery</subject><subject>salvage surgery</subject><subject>Survival</subject><subject>Throat cancer</subject><subject>transoral robotic surgery</subject><subject>Tumors</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp1kE1OwzAQhS0EoqWw4AIoEhtYpHX8E8dLVApFqsQG1pbj2G2qJC52ItQdR-CMnASXtAuQWM1o3jdPMw-AywSOEwjRZKWLMWJJQo_AMIGcxRATdrzrCY4xZGQAzrxfQwhxStApGGAaKiFkCPKFbZZfH5-tdnXktO-q1kfWRM7mti1VUKT3pW91ETXS281Kum2z1Kq19TYy1oUd1Tmnm_aXLqtISafKxtbyHJwYWXl9sa8j8Powe5nO48Xz49P0bhErTDGNU0Y5NVKnhnBuGMcMoSKjmiKZGMgxZ4RlLJWZZIrpDBcY54ogmEsiaU4lHoGb3nfj7FunfSvq0itdVbLRtvMCpQxhBFPGAnr9B13bzjXhukBlmEPI4Y667SnlrPdOG7FxZR0eFAkUu-BFCF78BB_Yq71jl9dheiAPSQdg0gPvZaW3_zuJ-ey-t_wGjmWPLQ</recordid><startdate>202208</startdate><enddate>202208</enddate><creator>Tsang, Raymond K.</creator><creator>Chan, Walter C. 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W.</au><au>Ho, Wai‐Kuen</au><au>Wei, William I.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long‐term results of robotic‐assisted nasopharyngectomy for recurrent nasopharyngeal carcinoma</atitle><jtitle>Head &amp; neck</jtitle><addtitle>Head Neck</addtitle><date>2022-08</date><risdate>2022</risdate><volume>44</volume><issue>8</issue><spage>1940</spage><epage>1947</epage><pages>1940-1947</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background We have previously reported our early experience in robotic‐assisted nasopharyngectomy. The current case series is a report of our experience in 33 robotic‐assisted nasopharyngectomy. Methods Prospective series of patients who underwent robotic‐assisted nasopharyngectomy for local recurrent nasopharyngeal carcinoma from January 2010 to March 2019. Results Thirty‐one patients underwent robotic‐assisted nasopharyngectomy with two additional second procedure for positive margin. Median age is 55 years (29–85). Twenty‐five patients had rT1 disease and six patients had tumor invaded sphenoid floor (rT3). Median operative time was 227 min and median blood loss was 200 ml. The median follow‐up period for all patients were 38 months. Four patients had local recurrence. Five‐year local control rate, overall survival, and disease‐free survival are 85.1%, 55.7%, and 69.1%, respectively. Conclusion Robotic‐assisted nasopharyngectomy for recurrent nasopharyngectomy was showed to have a high local control rate. The operating time was comparable to open surgery.</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>35642444</pmid><doi>10.1002/hed.27115</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-3958-2410</orcidid><orcidid>https://orcid.org/0000-0003-1956-5821</orcidid></addata></record>
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source Wiley Online Library Journals Frontfile Complete
subjects Early experience
minimally invasive skull base surgery
Nasopharyngeal carcinoma
nasopharyngectomy
Patients
Robotic surgery
salvage surgery
Survival
Throat cancer
transoral robotic surgery
Tumors
title Long‐term results of robotic‐assisted nasopharyngectomy for recurrent nasopharyngeal carcinoma
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