경구강 로봇 수술의 최신 경향
Transoral Robotic Surgery: Up to Date
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Feasibility and efficacy of transoral robotic surgery (TORS) were verified in the field of head and neck surgery. It has the advantages of 3D visualization, tremor filtration, and free movement of instrument arm. Within narrow working space, various procedures that is impossible with instruments used in conventional endoscopic surgery could be practiced to remove the lesions and preserve surrounding healthy structure maximally for maintenance of function. For example, inner perichondrium of thyroid cartilage was peeled off and suture technique was used to control bleeding and decrease raw mucosal surface. However, it has also disadvantages of limited instrument type, high cost of robotic system, and lack of exclusive retractor to obtain working space. And oncologic and functional results of TORS were quite acceptable for treatment of oropharyngeal, hypopharyngeal, and supraglottic cancer. Therefore, TORS is a valid treatment option as a surgical organ-preserving strategy for patients with oropharyngeal, hypopharyngeal, and supraglottic cancer.
Abstract
Feasibility and efficacy of transoral robotic surgery (TORS) were verified in the field of head and neck surgery. It has the advantages of 3D visualization, tremor filtration, and free movement of instrument arm. Within narrow working space, various procedures that is impossible with instruments used in conventional endoscopic surgery could be practiced to remove the lesions and preserve surrounding healthy structure maximally for maintenance of function. For example, inner perichondrium of thyroid cartilage was peeled off and suture technique was used to control bleeding and decrease raw mucosal surface. However, it has also disadvantages of limited instrument type, high cost of robotic system, and lack of exclusive retractor to obtain working space. And oncologic and functional results of TORS were quite acceptable for treatment of oropharyngeal, hypopharyngeal, and supraglottic cancer. Therefore, TORS is a valid treatment option as a surgical organ-preserving strategy for patients with oropharyngeal, hypopharyngeal, and supraglottic cancer.
참고문헌 (17)
- Nam W, "Contributing factors to mandibulotomy complications: a retrospective study", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 101(3), pp.e65~e70 (2006)
- Wang CC, "Osteoradionecrosis with combined mandibulotomy and marginal mandibulectomy", aryngoscope, 115(11), pp.1963~1967 (2005)
- Reiter D, "Complications of mandibulotomy", Otolaryngol Head Neck Surg, 131(3), pp.339~339 (2004)
- Weinstein GS, "Transoral robotic surgery: supraglottic partial laryngectomy", Ann Otol Rhinol Laryngol, 116(1), pp.19~23 (2007)
- Park YM, "Transoral robotic surgery (TORS) in laryngeal and hypopharyngeal cancer", J Laparoendosc Adv Surg Tech A, 19(3), pp.361~368 (2009)
- Park YM, "Feasibility of transoral lateral oropharyngectomy using a robotic surgical system for tonsillar cancer", Oral Oncol, 45(8), pp.e62~e66 (2009)
- 김세헌, "Feasiblity of transoral robotic hypopharyngectomy for early-stage hypopharyngeal carcinoma", Oral Oncology, 46(8), pp.597~602
- Spiro RH, "Mandibular “swing” approach for oral and oropharyngeal tumors", Head Neck Surg, 3(5), pp.371~378 (1981)
- Barrs DM, "Squamous cell carcinoma of the tonsil and tongue-base region", Arch Otolaryngol, 105(8), pp.479~485 (1979)
- Galati LT, "Primary surgery as treatment for early squamous cell carcinoma of the tonsil", Head Neck, 22(3), pp.294~296 (2000)
- Watkinson JC, "Conservation surgery in the management of T1 and T2 oropharyngeal squamous cell carcinoma: the Birmingham UK experience", Clin Otolaryngol Allied Sci, 27(6), pp.541~548 (2002)
- Ambrosch P, "Clinical staging of oropharyngeal carcinoma: a critical evaluation of a new stage grouping proposal", Cancer, 82(9), pp.1613~1620 (1998)
- Holsinger FC, "Transoral lateral oropharyngectomy for squamous cell carcinoma of the tonsillar region: I. Technique, complications, and functional results", Arch Otolaryngol Head Neck Surg, 131(7), pp.583~591 (2005)
- Moore EJ, "Long-term functional and oncologic results of transoral robotic surgery for oropharyngeal squamous cell carcinoma", Mayo Clin Proc, 87(3), pp.219~225 (2012)
- Salassa JR, "A functional outcome swallowing scale for staging oropharyngeal dysphagia", Dig Dis, 17(4), pp.230~234 (1999)
- Park YM, "Transoral robotic surgery for hypopharyngeal squamous cell carcinoma: 3-year oncologic and functional analysis", Oral Oncol, 48(6), pp.560~566 (2012)
- Alon EE, "Feasibility of transoral robotic-assisted supraglottic laryngectomy", Head Neck, 34(2), pp.225~229 (2012)