Transoral robotic surgery: The radiation oncologist's perspective

Abstract

Transoral Robotic Surgery (TORS) is a fascinating new technology allowing for excellent functional outcomes after resection of head and neck tumors that previously required morbid surgical approaches for access. With a new technology, however, come new questions as to optimal patient selection and its impact on adjuvant therapy considerations. Here we review the issues most pertinent to a radiation oncologist adapting to the use of TORS. Patient selection, indications for adjuvant radiotherapy, radiation dose and target volumes are discussed. Finally, ongoing clinical trials and future directions are considered.

Keywords: Adjuvant radiotherapy; Extracapsular extension; Intensity modulated radiotherapy; Transoral laser surgery; Transoral robotic surgery.