Abstract
RESULTS: 20 patients underwent TORS with neck dissection being performed in 6 (30%) patients. Site of primary disease was oropharyngeal in 18 (90%) and hypopharynx (10%) in 2 patients. Positive margin was seen in 1 (5%) patient. 1 patient required tracheostomy during the procedure. Postoperative complications such as hemorrhage requiring active intervention occurred in 3 (15%) patients. Average blood loss was 28.023.13 mL with no patient requiring transfusion. Postoperatively, majority of the patients had adequate swallowing and speech function with nasal twang reported in 2 patients. Patients started tolerating oral feeds within a week of procedure (5.683.67 days) with nasogastric tube being removed on 13th post op day (12.758.04 days). PEG insertion was done in 2 (10%) patients. Average hospital stay was 3.881.57 days. CONCLUSIONS: This study demonstrates that TORS offers a safe, feasible and minimally invasive salvage surgical approach for previously irradiated patients with residual or recurrent disease with an acceptable oncological and functional outcome.
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