Transoral robotic surgery experience in 44 cases

Area of Science:

• Otolaryngology
• Surgical Oncology
• Robotic Surgery

Background:

• Transoral robotic surgery (TORS) has emerged as a minimally invasive approach for head and neck pathologies.
• Assessing the clinical outcomes and safety profile of TORS is crucial for its wider adoption.

Purpose of the Study:

• To evaluate the clinical outcomes of transoral robotic surgery (TORS) in a single institution.
• To analyze the safety, efficacy, and functional results of TORS for benign and malignant head and neck diseases.

Main Methods:

• Retrospective review of 44 consecutive patients undergoing TORS for benign and malignant conditions.
• Data collected included demographics, clinical parameters, operative details, and oncologic outcomes (margins, recurrence, survival).

Main Results:

• TORS was performed on 9 benign and 35 squamous cell carcinoma (SCCA) cases.
• High rates of negative surgical margins (91%) and rapid return to peroral diet (94% for malignant cases) were observed.
• Two-year disease-free survival rates were favorable, particularly for HPV-positive oropharyngeal SCCA (91%).

Conclusions:

• Transoral robotic surgery (TORS) demonstrates a favorable safety profile with minimal complications.
• TORS achieves acceptable clinical and functional outcomes for both benign and malignant head and neck diseases.
• The procedure supports good oncologic control and patient recovery.