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Transoral surgery using the Flex Robotic System: Initial experience in the United States
Michael J Persky1,2, Mohamad Issa1, Jennifer R Bonfili1
1Department of Otolaryngology - Head and Neck Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
The Flex system enabled successful transoral robotic surgery for various head and neck lesions. This initial US experience showed a low complication rate, demonstrating its safety and efficacy.
Area of Science:
- Robotic Surgery
- Head and Neck Surgery
- Minimally Invasive Procedures
Background:
- Initial clinical experience with the Medrobotics Flex Robotic System for transoral surgery.
- Evaluation conducted across two academic centers in the United States.
Purpose of the Study:
- To document the initial experience and assess the safety and efficacy of the Flex system in transoral robotic surgery.
- To evaluate surgical success rates and complication profiles.
Main Methods:
- Retrospective review of patients undergoing transoral robotic surgery with the Flex system.
- Data collected from September 2015 to May 2017.
- Analysis of surgical outcomes, including complication rates and readmissions.
Main Results:
- The Flex system was successfully utilized in diverse anatomical locations including the oral cavity, larynx, and pharynx.
- A total of 68 patients (36 male, 32 female) with an average age of 55.6 years were included.
- Low complication rate observed, with only 7.6% of cases requiring readmission and no intraoperative hemorrhage.
Conclusions:
- This study represents the first evaluation in the United States of the Flex system for resecting lesions in the oral cavity, larynx, and pharynx.
- The findings suggest the Flex system is a safe and effective tool for transoral robotic surgery.
- The system demonstrated successful application across a range of head and neck procedures.
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