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Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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Transoral Robotic Surgery: A Population-Level Analysis.

Michelle M Chen1, Sanziana A Roman2, Dennis H Kraus3

  • 1Department of Surgery, Yale University School of Medicine, New Haven, Connecticut, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|March 13, 2014
PubMed
Summary
This summary is machine-generated.

Transoral robotic surgery (TORS) for oropharyngeal cancer is increasingly used and associated with fewer positive margins. High-volume TORS centers demonstrate the best outcomes, with lower positive margins and readmissions.

Keywords:
National Cancer Data Baseadjuvant therapymarginsoropharyngeal cancertransoral robotic surgeryunplanned readmission

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Area of Science:

  • Otolaryngology
  • Surgical Oncology
  • Robotic Surgery

Background:

  • Transoral robotic surgery (TORS) is a minimally invasive technique for oropharyngeal cancer.
  • Understanding patient characteristics and outcomes is crucial for surgical decision-making.

Purpose of the Study:

  • To characterize patients undergoing TORS for oropharyngeal cancer.
  • To compare margin status and unplanned readmissions between TORS and nonrobotic surgery.

Main Methods:

  • Retrospective review of the National Cancer Database (2010-2011).
  • Identified 877 TORS patients and 4269 nonrobotic surgery patients.
  • Analyzed demographic, clinical, and pathologic data, including margin status and readmissions.

Main Results:

  • TORS use increased by 67% from 2010-2011.
  • TORS patients were more likely to have HPV-positive tumors and be treated at academic centers.
  • TORS was associated with significantly lower positive margin rates (20.2% vs 31.0%) compared to nonrobotic surgery.
  • High-volume TORS centers had lower rates of positive margins and unplanned readmissions.

Conclusions:

  • TORS adoption is rapidly increasing in cancer centers.
  • TORS demonstrates superior margin status compared to traditional nonrobotic approaches.
  • High-volume TORS centers achieve the best oncologic and safety outcomes.