Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2024 Nov 7;18(1):398.
doi: 10.1007/s11701-024-02155-7.

Feasibility of transoral robotic surgery using the da Vinci Xi system for oropharyngeal cancer and obstructive sleep apnea in low-volume center

John M Sommerfeldt  1 , Keith Volner  2 , Jae Lim  3   4
Affiliations
Review

Feasibility of transoral robotic surgery using the da Vinci Xi system for oropharyngeal cancer and obstructive sleep apnea in low-volume center

John M Sommerfeldt et al. J Robot Surg. .

Abstract

Transoral robotic surgery (TORS) has become a common surgical approach for the treatment of both benign and malignant conditions of the oropharynx. While the newer da Vinci Xi platform has largely replaced the previous Si model in many institutions, the reported outcomes with this system in head and neck surgery are limited. We report the feasibility of using the da Vinci Xi platform for managing oropharyngeal cancer and obstructive sleep apnea in a low-volume center. This retrospective review from a consecutive case series includes demographic, procedural, and outcome data from all patients who underwent TORS using the da Vinci Xi platform at a single institution over a 5-year period from 2019 to 2023. Thirty-five patients (19 males and 16 females) underwent TORS for a variety of indications. No patients were excluded from the study. There were no mortalities, readmissions, or severe complications directly related to the primary surgery. Our case series demonstrates that TORS is feasible with the da Vinci Xi system even in low-volume centers and supports the existing data suggesting that the Xi platform has an acceptable safety profile.

Keywords: Obstructive sleep apnea; Oropharyngeal cancer; Squamous cell carcinoma; TORS.

PubMed Disclaimer

Similar articles

See all similar articles

References

    1. Van der Vorst S, Prasad V, Remacle M, Bachy V, Lawson G (2015) Functional outcomes after transoral robotic surgery for squamous cell carcinoma of the oropharynx. B-ENT 11(24):15–19
    1. Fiacchini G, Vianini M, Dallan I, Bruschini L (2020) Is the Da Vinci Xi system a real improvement for oncologic transoral robotic surgery? A systematic review of the literature. J Robot Surg. https://doi.org/10.1007/s11701-020-01132-0 - DOI - PubMed
    1. de Almeida JR, Li R, Magnuson JS, Smith RV, Moore E, Lawson G, Remacle M, Ganly I, Kraus DH, Teng MS, Miles BA, White H, Duvvuri U, Ferris RL, Mehta V, Kiyosaki K, Damrose EJ, Wang SJ, Kupferman ME, Koh YW, Genden EM, Holsinger FC (2015) Oncologic outcomes after transoral robotic surgery: a multi-institutional study. JAMA Otolaryngol Head Neck Surg 141(12):1043–1051. https://doi.org/10.1001/jamaoto.2015.1508 - DOI - PubMed - PMC
    1. Alessandrini M, Pavone I, Micarelli A, Caporale C (2018) Transoral robotic surgery for the base of tongue squamous cell carcinoma: a preliminary comparison between da Vinci Xi and Si. J Robot Surg 12(3):417–423. https://doi.org/10.1007/s11701-017-0750-9 - DOI - PubMed
    1. Gorphe P, Von Tan J, El Bedoui S, Hartl DM, Auperin A, Qassemyar Q, Moya-Plana A, Janot F, Julieron M, Temam S (2017) Early assessment of feasibility and technical specificities of transoral robotic surgery using the da Vinci Xi. J Robot Surg 11(4):455–461. https://doi.org/10.1007/s11701-017-0679-z - DOI - PubMed

LinkOut - more resources