دورية أكاديمية
Transoral robotic surgery hypopharyngectomy (TORSH): feasibility and outcomes.
| العنوان: | Transoral robotic surgery hypopharyngectomy (TORSH): feasibility and outcomes. |
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| المؤلفون: | Hassid, Samantha, Van der Vorst, Sébastien, Delahaut, Gilles, Ambroise, Jérôme, Lawson, Georges |
| المساهمون: | UCL - (MGD) Service d'oto-rhino-laryngologie, UCL - SSS/IREC/CARS - Computer Assisted Robotic Surgery, UCL - SSS/IREC/MONT - Pôle Mont Godinne |
| المصدر: | European archives of oto-rhino-laryngology, Vol. 277, no. 10, p. 2883-2892 (2020) |
| بيانات النشر: | Springer International |
| سنة النشر: | 2020 |
| المجموعة: | DIAL@USL-B (Université Saint-Louis, Bruxelles) |
| مصطلحات موضوعية: | Head and neck tumors, Hypopharynx, Oncology, Robotic surgery, Transoral |
| الوصف: | PURPOSE: With the development of minimal invasive procedure, trans-oral robotic surgery (TORS) is expanding in the field of ENT. Most reviews focus on oropharyngeal and laryngeal (supra-glottic) localization. We report here the feasibility and outcomes of TORS hypopharyngectomy (TORSH) for selected patients with hypopharyngeal tumor. METHODS: Between September 2009 and July 2017, 22 patients, retrospectively included, underwent TORSH with curative intent. RESULTS: From 22 successful hypopharyngectomy, no conversion to open procedure was needed. Three patients (13%) presented a post-operative bleeding and were managed by surgical revision. No fistula was encountered. The 3-year overall survival and disease-specific survival rates were 54 and 92%, respectively. Patients started oral feeding after an average of 7 days. Naso-gastric feeding tubes were removed after a median period of 16 days. Two patients (9%) needed a transient gastrostomy (< 1 year). Three patients (13%) received a transient tracheostomy (< 2 months). Median hospitalization stay was 13 days. CONCLUSIONS: TORSH is a safe technique. Patients' outcomes are favorable and the post-operative morbidity is reduced compared to open neck approach. Hospitalization length and safe swallowing time are reduced. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 0937-4477 1434-4726 |
| العلاقة: | boreal:229805; http://hdl.handle.net/2078.1/229805Test; info:pmid/32367147; urn:ISSN:0937-4477; urn:EISSN:1434-4726 |
| DOI: | 10.1007/s00405-020-05984-y |
| الإتاحة: | https://doi.org/10.1007/s00405-020-05984-yTest http://hdl.handle.net/2078.1/229805Test |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.368DD3C3 |
| قاعدة البيانات: | BASE |
| تدمد: | 09374477 14344726 |
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| DOI: | 10.1007/s00405-020-05984-y |