Haemorrhage following transoral robotic surgery

Haemorrhage following transoral robotic surgery KeypointsTransoral Robotic Surgery (TORS) is becoming increasingly popular.Hemorrhage remains a complication with potential live threatening sequelae.In 122 patients receiving TORS there were 23 bleeding events following 19 operations (16%).Hemorrhage requiring a return to the operating room occurred after 7 operations (6%).There were no hemorrhage events in the 36 patients who received a synchronous neck dissection with transcervical ligation of the external carotid artery.INTRODUCTIONTransoral robotic surgery (TORS) received approval from the FDA in 2009 and has been utilised for a number of different indications in the upper aerodigestive tract (UADT), particularly for the surgical treatment of selected patients with cancer of the oropharynx. Traditional open surgical approaches with either mandibulotomy or lateral pharyngotomy provide a good oncological standard against which TORS can be compared. TORS has the advantage of overcoming line‐of‐sight restrictions, making it possible to access areas in the UADT that was not previously accessible and can avoid the morbidity of an open approach. TORS has been supported by a number of recent publications reporting the short‐ and medium‐term oncological outcomes from single institutional studies and a multi‐institutional study reporting a 3‐year survival rate of 92.5% and a 3‐year recurrence‐free rate of 88.8%. There has also been promising functional http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Clinical Otolaryngology Wiley

Haemorrhage following transoral robotic surgery

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 John Wiley & Sons Ltd
ISSN
1749-4478
eISSN
1749-4486
D.O.I.
10.1111/coa.13041
Publisher site
See Article on Publisher Site

Abstract

KeypointsTransoral Robotic Surgery (TORS) is becoming increasingly popular.Hemorrhage remains a complication with potential live threatening sequelae.In 122 patients receiving TORS there were 23 bleeding events following 19 operations (16%).Hemorrhage requiring a return to the operating room occurred after 7 operations (6%).There were no hemorrhage events in the 36 patients who received a synchronous neck dissection with transcervical ligation of the external carotid artery.INTRODUCTIONTransoral robotic surgery (TORS) received approval from the FDA in 2009 and has been utilised for a number of different indications in the upper aerodigestive tract (UADT), particularly for the surgical treatment of selected patients with cancer of the oropharynx. Traditional open surgical approaches with either mandibulotomy or lateral pharyngotomy provide a good oncological standard against which TORS can be compared. TORS has the advantage of overcoming line‐of‐sight restrictions, making it possible to access areas in the UADT that was not previously accessible and can avoid the morbidity of an open approach. TORS has been supported by a number of recent publications reporting the short‐ and medium‐term oncological outcomes from single institutional studies and a multi‐institutional study reporting a 3‐year survival rate of 92.5% and a 3‐year recurrence‐free rate of 88.8%. There has also been promising functional

Journal

Clinical OtolaryngologyWiley

Published: Jan 1, 2018

Keywords: ; ; ; ;

References

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