TY - JOUR
T1 - Transoral robotic surgery vs transoral laser microsurgery for resection of supraglottic cancer
T2 - A pilot surgery
AU - Ansarin, Mohssen
AU - Zorzi, Stefano
AU - Massaro, Maria Angela
AU - Tagliabue, Marta
AU - Proh, Michele
AU - Giugliano, Gioacchino
AU - Calabrese, Luca
AU - Chiesa, Fausto
PY - 2014
Y1 - 2014
N2 - Background: Transoral laser microsurgery (TLM) is a mature approach to supraglottic cancer, while transoral robotic surgery (TORS) is emerging. The present study compared these approaches. Methods: The first 10 patients (2002-2005) given TLM were compared with the first 10 (2007-2011) given TORS for cT1-3 cN0-cN2c supraglottic cancer. Results: A feeding tube was used in four TLM and seven TORS patients. Margins were more often positive, but operating times shorter, in TORS. All 10 TORS patients are without evidence of disease, but only six TLM patients remain disease-free after much longer follow-up. TORS was considerably less uncomfortable and fatiguing for the surgeon. Conclusions: TORS seems as safe and effective as TLM. Shorter TORS operating times are probably attributable to prior experience with TLM. For laryngeal exposure, length of tube placement and margin evaluability, TLM was superior; however, this may change as TORS develops and transoral robotic instruments are optimized.
AB - Background: Transoral laser microsurgery (TLM) is a mature approach to supraglottic cancer, while transoral robotic surgery (TORS) is emerging. The present study compared these approaches. Methods: The first 10 patients (2002-2005) given TLM were compared with the first 10 (2007-2011) given TORS for cT1-3 cN0-cN2c supraglottic cancer. Results: A feeding tube was used in four TLM and seven TORS patients. Margins were more often positive, but operating times shorter, in TORS. All 10 TORS patients are without evidence of disease, but only six TLM patients remain disease-free after much longer follow-up. TORS was considerably less uncomfortable and fatiguing for the surgeon. Conclusions: TORS seems as safe and effective as TLM. Shorter TORS operating times are probably attributable to prior experience with TLM. For laryngeal exposure, length of tube placement and margin evaluability, TLM was superior; however, this may change as TORS develops and transoral robotic instruments are optimized.
KW - Supraglottic cancer
KW - Transoral laser microsurgery
KW - Transoral robotic surgery
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U2 - 10.1002/rcs.1546
DO - 10.1002/rcs.1546
M3 - Article
C2 - 24288345
AN - SCOPUS:84895832998
VL - 10
SP - 107
EP - 112
JO - International Journal of Medical Robotics and Computer Assisted Surgery
JF - International Journal of Medical Robotics and Computer Assisted Surgery
SN - 1478-596X
IS - 1
ER -