VITOM-3D assisted neck dissection via a retroauricular approach (RAND-3D): a preclinical investigation in a cadaver lab
- PMID: 33299224
- PMCID: PMC7726639
- DOI: 10.14639/0392-100X-N0757
VITOM-3D assisted neck dissection via a retroauricular approach (RAND-3D): a preclinical investigation in a cadaver lab
Abstract
Objective: The recent introduction of 3D exoscopic surgery has allowed interesting technical improvements in head and neck surgery resulting in technical solutions that are also applicable to neck dissection. The aim is to replace robotic surgery while minimising the costs of the procedure.
Methods: Based on these considerations, we conducted a preclinical investigation in the cadaver lab focused on approaching conventional neck dissection using a retroauricular incision, and evalute the applications and usefulness of the Storz 3D Exoscopic System at different stages of the surgical procedure. The acronym RAND-3D (3D exoscopic surgery) was coined to describe the application of this optical tool in neck dissection.
Results: The current study in the cadaver lab indicates that RAND-3D is an acceptable alternative operating technique in performing neck dissection by a retroauricular approach. Technically feasible and safe, this technique assures a complete compartment-oriented dissection without damaging major vascular or nervous structures.
Conclusions: This approach can be used in selected cases with a clear cosmetic benefit and represents a valid alternative to endoscopic- and robotic-assisted neck dissection.
Dissezione laterocervicale mediante approccio retroauricolare assistito da sistema VITOM-3D (RAND-3D): studio preclinico in cadaver lab.
Obiettivo: Il recente avvento della chirurgia esoscopica 3D ha consentito, nell’ambito della chirurgia cervico-cefalica, l’introduzione di interessanti innovazioni tecnologiche, risultanti in soluzioni tecniche applicabili anche alla chirurgia del collo, con l’obiettivo di rappresentare un’alternativa alla chirurgia robotica, minimizzando i costi della procedura.
Metodi: Sulla base di queste considerazioni abbiamo recentemente condotto uno studio pre-clinico nel nostro cadaver lab, focalizzato sull’esecuzione dello svuotamento linfonodale laterocervicale con approccio retroauricolare, valutando le applicazioni e l’utilità del Sistema Esoscopico 3D Storz nei vari steps dell’intervento. Abbiamo coniato l’acronimo di RAND-3D (chirurgia esoscopica 3D) per descrivere l’impiego di questo tool ottico nell’esecuzione di tale procedura chirurgica.
Risultati: Il seguente studio condotto nel cadaver lab ha indicato che la tecnica RAND-3D rappresenta una valida alternativa per l’esecuzione dello svuotamento del collo con approccio retroauricolare. Questa metodica, tecnicamente fattibile e sicura, permette una dissezione compartimentale, senza danno alle principali strutture vascolo-nervose cervicali.
Conclusioni: Questo approccio può essere impiegato in casi selezionati con un chiaro finalismo estetico, rappresentando una valida alternativa alle metodiche endoscopiche e robotiche.
Keywords: 3D; 3D surgery; exoscope; neck dissection.
Copyright © 2020 Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale, Rome, Italy.
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