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Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
Published on: October 24, 2025
Anesthetic considerations for transoral robotic surgery
John J Chi1, Jeff E Mandel, Gregory S Weinstein
1Department of Otorhinolaryngology-Head & Neck Surgery, University of Pennsylvania School of Medicine, Philadelphia, 19104, USA. john.chi@uphs.upenn.edu
Transoral robotic surgery (TORS) is now approved for head and neck tumors, requiring anesthesiologists to understand its perioperative care. This article provides essential knowledge for anesthesiologists managing TORS patients.
Area of Science:
- Robotic Surgery
- Otolaryngology
- Anesthesiology
Background:
- Robotic surgery is increasingly used in cardiothoracic and abdominopelvic procedures.
- Transoral robotic surgery (TORS) is now FDA-approved for head and neck tumors, expanding robotic applications.
- The widespread adoption necessitates anesthesiologist familiarity with robotic surgery.
Purpose of the Study:
- To focus on Transoral Robotic Surgery (TORS).
- To provide anesthesiologists with foundational knowledge for TORS patient care.
- To prepare anesthesiologists for the perioperative management of TORS.
Main Methods:
- Review of current literature on TORS.
- Analysis of anesthetic considerations for TORS.
- Compilation of best practices for perioperative care.
Main Results:
- TORS represents a significant advancement in head and neck surgery.
- Anesthesiologists require specific knowledge regarding TORS procedures.
- Perioperative management strategies are crucial for patient safety.
Conclusions:
- Anesthesiologists must be educated on TORS to ensure optimal patient outcomes.
- This article serves as a guide for anesthesiologists caring for TORS patients.
- Understanding TORS is vital for the expanding role of robotics in surgery.
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