Early assessment of feasibility and technical specificities of transoral robotic surgery using the da Vinci Xi
- PMID: 28064382
- DOI: 10.1007/s11701-017-0679-z
Early assessment of feasibility and technical specificities of transoral robotic surgery using the da Vinci Xi
Abstract
The latest generation Da Vinci® Xi™ Surgical System Robot released has not been evaluated to date in transoral surgery for head and neck cancers. We report here the 1-year results of a non-randomized phase II multicentric prospective trial aimed at assessing its feasibility and technical specificities. Our primary objective was to evaluate the feasibility of transoral robotic surgery using the da Vinci® Xi™ Surgical System Robot. The secondary objective was to assess peroperative outcomes. Twenty-seven patients, mean age 62.7 years, were included between May 2015 and June 2016 with tumors affecting the following sites: oropharynx (n = 21), larynx (n = 4), hypopharynx (n = 1), parapharyngeal space (n = 1). Eighteen patients were included for primary treatment, three for a local recurrence, and six for cancer in a previously irradiated field. Three were reconstructed with a FAMM flap and 6 with a free ALT flap. The mean docking time was 12 min. "Chopsticking" of surgical instruments was very rare. During hospitalization following surgery, 3 patients experienced significant bleeding between day 8 and 9 that required surgical transoral hemostasis (n = 1) or endovascular embolization (n = 2). Transoral robotic surgery using the da Vinci® Xi™ Surgical System Robot proved feasible with technological improvements compared to previous generation surgical system robots and with a similar postoperative course. Further technological progress is expected to be of significant benefit to the patients.
Keywords: Peroperative outcomes; Postoperative complications; Transoral robotic surgery (TORS); da Vinci® Xi™ Surgical System Robot.
Similar articles
-
Feasibility of robot-assisted neck dissection followed by transoral robotic surgery.Br J Oral Maxillofac Surg. 2015 Jan;53(1):68-73. doi: 10.1016/j.bjoms.2014.09.024. Epub 2014 Oct 29. Br J Oral Maxillofac Surg. 2015. PMID: 25453254
-
[Exploration of feasibility and safety of transoral robotic surgery in pharyngolaryngeal tumors].Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Jul 7;53(7):512-518. doi: 10.3760/cma.j.issn.1673-0860.2018.07.006. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018. PMID: 30032494 Chinese.
-
Perioperative safety, feasibility, and oncologic utility of transoral robotic surgery with da Vinci Xi platform.J Robot Surg. 2020 Feb;14(1):85-89. doi: 10.1007/s11701-019-00938-x. Epub 2019 Mar 1. J Robot Surg. 2020. PMID: 30825098
-
Is the Da Vinci Xi system a real improvement for oncologic transoral robotic surgery? A systematic review of the literature.J Robot Surg. 2021 Feb;15(1):1-12. doi: 10.1007/s11701-020-01132-0. Epub 2020 Aug 4. J Robot Surg. 2021. PMID: 32749569
-
Transoral surgery for laryngo-pharyngeal cancer - The paradigm shift of the head and cancer treatment.Auris Nasus Larynx. 2016 Feb;43(1):21-32. doi: 10.1016/j.anl.2015.06.013. Epub 2015 Aug 19. Auris Nasus Larynx. 2016. PMID: 26298233 Review.
Cited by
-
Robotic Surgery: Rediscovering Human Anatomy.Int J Environ Res Public Health. 2021 Dec 3;18(23):12744. doi: 10.3390/ijerph182312744. Int J Environ Res Public Health. 2021. PMID: 34886470 Free PMC article.
-
Robotic Surgery for Head and Neck Tumors: What are the Current Applications?Curr Oncol Rep. 2024 Jul;26(7):840-854. doi: 10.1007/s11912-024-01546-1. Epub 2024 May 23. Curr Oncol Rep. 2024. PMID: 38777980 Free PMC article. Review.
-
Feasibility of transoral robotic surgery using the da Vinci Xi system for oropharyngeal cancer and obstructive sleep apnea in low-volume center.J Robot Surg. 2024 Nov 7;18(1):398. doi: 10.1007/s11701-024-02155-7. J Robot Surg. 2024. PMID: 39508908 Review.
-
Feasibility and safety of the da Vinci Xi surgical robot for transoral robotic surgery.J Robot Surg. 2023 Apr;17(2):571-576. doi: 10.1007/s11701-022-01449-y. Epub 2022 Aug 16. J Robot Surg. 2023. PMID: 35972598
-
A Contemporary Review of Evidence for Transoral Robotic Surgery in Laryngeal Cancer.Front Oncol. 2018 Apr 18;8:121. doi: 10.3389/fonc.2018.00121. eCollection 2018. Front Oncol. 2018. PMID: 29721446 Free PMC article. Review.
References
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical