Transoral robotic retropharyngeal lymph node dissection in a recurrent head and neck carcinoma

Gerardo Petruzzi, Jacopo Zocchi, Silvia Moretto, Barbara Pichi, Giovanni Cristalli, Giuseppe Mercante, Giuseppe Spriano, Armando De Virgilio, Raul Pellini

Research output: Contribution to journalArticlepeer-review


Background: A step-by-step demonstration of the transoral robotic surgical approach (TORS) used in retropharyngeal node dissection (RND) in a recurrent head and neck carcinoma. Methods: Clinical human study of TORS RND via en bloc resection using a daVinci Si system (Intuitive Surgical, Inc., Sunnyvale, California). Results: A daVinci Si system provided sufficient access, reach, and visualization to perform TORS-RND. Access and exposure were achieved with a Feyh-Kastenbauer (FK) retractor (Gyrus Medical Inc., Tuttlingen, Germany). Two surgical instruments and one 3D camera arm can be deployed with minimal collision or restriction of arm movement. Conclusions: Routine transcervical, transparotid, and transmandibular RNDs can provoke potentially serious surgical morbidities and complications. This study demonstrates the technical feasibility of TORS RND in a 68-year-old man.

Original languageEnglish
Pages (from-to)4051-4053
Number of pages3
JournalHead and Neck
Issue number11
Publication statusPublished - Nov 1 2019


  • head and neck surgery
  • minimally invasive surgery
  • retropharynx
  • robotic surgery
  • TORS

ASJC Scopus subject areas

  • Otorhinolaryngology


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