Abstract
The Flex Robotic System (Medrobotics, Raynham, MA, USA) allows flexible transoral endoscopic resection of head and neck tumors. The current article presents functional and first oncologic experiences with flexible transoral robot-assisted surgery for resection of supraglottic laryngeal tumors. From July 2014 to February 2020, supraglottic cancers in 32patients (T1 = 11, T2 = 20, T3 = 1) were resected using the Flex Robotic System in the authors' clinic. Within aprospective clinical study, the feasibility, complications, and oncologic results were assessed. Tumors could be exposed, visualized, and successfully resected in all patients. In difficult-to-reach anatomic regions such as the aryepiglottic fold or petiole, the system provided avery good surgical overview. No serious adverse events occurred. Overall survival and local tumor control after 2years were 88 and 94%, respectively. In conclusion, supraglottic tumors in difficult-to-reach areas have been successfully resected using the Flex Robotic System, with excellent local tumor control.
Highlights
Die Tracheostomierate lag mit 12,5 % z
Kopfende des Patienten am Op.-Tisch fixiert wurde
V, Lallemant B, Aubry K et al (2016) Clinical outcomes with transoral robotic surgery for supraglottic squamous cell carcinoma: experience of a French evaluation cooperative subgroup of GETTEC
Summary
In den letzten Jahrzehnten hat sich, insbesondere in Deutschland [14], die transorale Lasermikrochirurgie (TLM) als Standardverfahren zur Resektion von supraglottischen Larynxtumoren etabliert [2,3,4, 19, 20, 22, 24]. Limitationen dieses Verfahrens ergeben sich aus der Anwendung von starren Endoskopen, der begrenzten Übersicht und der häufigen Notwendigkeit, den Tumor in mehreren Teilen zu resezieren. Offene Teilresektionen von supraglottischen Larynxkarzinomen sind onkologisch ebenfalls erfolgreich, erfordern jedoch große Erfahrung in diesen speziellen Operationstechniken, um funktionell gute Ergebnisse zu erreichen [21]
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