Transoral robotic surgery: a 4-year learning experience in a single Danish Cancer Centre.
Acta Otolaryngol
; 140(2): 157-162, 2020 Feb.
Article
em En
| MEDLINE
| ID: mdl-31849248
ABSTRACT
Background:
The main indication for transoral robotic surgery (TORS) has been the primary treatment of oropharyngeal squamous cell carcinoma (OPSCC). In the western world this is highly relevant due to the increasing incidence of human papillomavirus (HPV)-positive OPSCC. In Denmark, TORS was implemented in 2013 for use in the protocolled primary treatment of OPSCC.Aims/objectives:
To perform a year-by-year comparative analysis of indications for TORS, hospitalization and complication rates to identify optimal future indications for TORS.Methods and materials This is a retrospective single-centre case review from 2013-2017. Data were collected from patient files through electronic health care systems.Results:
Since 2013, there has been a change of indications from performing benign and salvage surgery to mainly primary treatment of OPSCC and diagnostic use in patients with cancer of unknown primary (CUP). The overall complication rates have reduced considerably over time.Conclusions andsignificance:
Lower complication rates may be explained by improved surgical experience, through better patient selection and changes in indications for TORS. Future applications of TORS will be in the management of CUP and as part of a Danish national randomized clinical trial aiming to compare long-term functional outcomes after treatment of early-stage OPSCC with TORS versus radiation treatment.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Síndromes da Apneia do Sono
/
Neoplasias Primárias Desconhecidas
/
Neoplasias Orofaríngeas
/
Procedimentos Cirúrgicos Robóticos
Tipo de estudo:
Guideline
/
Observational_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Acta Otolaryngol
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Dinamarca