Your browser doesn't support javascript.
loading
Robotic assisted orbital surgery for resection of advanced periocular tumours - a case series report on the feasibility, safety and outcome.
Malik, Mohsan; Daniel, Claire; Faulkner, Jack; Uddin, Jimmy; Arora, Asit; Jeannon, Jean-Pierre.
Afiliação
  • Malik M; Adnexal Service, Moorfields Eye Hospital, London, EC1V 2PD, UK.
  • Daniel C; Adnexal Service, Moorfields Eye Hospital, London, EC1V 2PD, UK.
  • Faulkner J; Head and Neck Oncology, Guys and St Thomas Hospital, London, SE1 9RT, UK.
  • Uddin J; Adnexal Service, Moorfields Eye Hospital, London, EC1V 2PD, UK.
  • Arora A; Head and Neck Oncology, Guys and St Thomas Hospital, London, SE1 9RT, UK.
  • Jeannon JP; Head and Neck Oncology, Guys and St Thomas Hospital, London, SE1 9RT, UK. jean-pierre.jeannon@gstt.nhs.uk.
Eye (Lond) ; 38(8): 1496-1501, 2024 Jun.
Article em En | MEDLINE | ID: mdl-38388832
ABSTRACT

PURPOSE:

Orbital surgery benefits from well-designed instrumentation that offers gentle tissue manipulation, high manoeuvrability and control. Nevertheless, in confined spaces, tissue manipulation must be accomplished with exceptionally high accuracy and precision. This is where robotic surgery offers an advantage. We aimed to evaluate a robotic-assisted surgical system's feasibility, safety and outcome in assisting tumour clearance. PATIENTS AND

METHODS:

A case series of patients with advanced periocular tumours undergoing robotic-assisted globe-sparing resection was performed using the DaVinci XI system (Intuitive Surgical, Inc). Institutional ethics and multidisciplinary approval were sought in all cases.

RESULTS:

Four patients with advanced periocular tumours underwent robotic-assisted orbital surgery at a mean age of 63 years (range 42-86). Two patients were diagnosed with squamous cell carcinoma, and two had basal cell carcinoma. One patient was found to have positive lymph nodes at the time of surgery and underwent simultaneous parotidectomy and lymph node clearance. Clear resection of the primary tumour was achieved in all patients; three patients underwent further resection due to narrow margins prior to reconstruction. Patients were follow-up for at least one year, and three remained disease-free. One patient with pre-existing extra-orbital disease developed metastatic disease four months post-op. All patients preserved vision peri-operatively, with no complaints of diplopia. Moderate ocular surface disease was noted in two patients.

CONCLUSION:

Our series highlights the potential advantage of three-dimensional optics, multi-directional instrumentation and motion scaling technology to achieve globe-sparing tumour resection in advanced periocular tumours. However, further robotic instrumentation development is required for orbital surgery.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Neoplasias Orbitárias / Carcinoma de Células Escamosas / Estudos de Viabilidade / Procedimentos Cirúrgicos Robóticos Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Eye (Lond) Assunto da revista: OFTALMOLOGIA Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Neoplasias Orbitárias / Carcinoma de Células Escamosas / Estudos de Viabilidade / Procedimentos Cirúrgicos Robóticos Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Eye (Lond) Assunto da revista: OFTALMOLOGIA Ano de publicação: 2024 Tipo de documento: Article