Transoral supraglottic laryngectomy using a next-generation single-port robotic surgical system

Ryan K. Orosco, Kenric Tam, Meijin Nakayama, F. Christopher Holsinger, Giuseppe Spriano

Research output: Contribution to journalArticlepeer-review

Abstract

Background: To investigate the feasibility of transoral robotic surgery (TORS) supraglottic laryngectomy (SGL) using a next-generation flexible surgical robot. Methods: Preclinical human cadaver anatomic study of TORS SGL via en bloc resection. Results: A single-port robotic surgical system (da Vinci Sp, Intuitive Surgical, Inc., Sunnyvale, California) provided sufficient access, reach, and visualization to perform TORS SGL. Access and exposure were achieved with a standard laryngo-pharyngoscope retractor. The remote center of the robotic system was located 10 cm from the maxillary alveolus. Three surgical instruments and one flexible camera could be deployed with minimal collision or restriction of arm movement. Conclusions: Routine resection supraglottic cancers through TORS have been hindered by challenging exposure and visualization and limited instrument maneuverability deep within the laryngopharyngeal complex. This preclinical feasibility study demonstrates the technical feasibility for TORS SGL using a next-generation flexible surgical robot.

Original languageEnglish
Pages (from-to)2143-2147
Number of pages5
JournalHead and Neck
Volume41
Issue number7
DOIs
Publication statusPublished - Jul 2019

Keywords

  • flexible robot
  • robotic surgery
  • squamous cell carcinoma
  • supraglottic laryngectomy
  • transoral robotic surgery

ASJC Scopus subject areas

  • Otorhinolaryngology

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