[Assistant cooperation and therapeutic effect analysis in transoral robotic surgery with da Vinci surgical system]

Objective:The purpose of this study was to summarize the therapeutic effect and key points and skills of assistant cooperation in transoral robotic surgery (TORS) with da Vinci surgical system.Method:Forty patients were reviewed who were treated with TORS in Beijing Anzhen Hospital from June 1, 2016 to May 30, 2018. Key points of assistant cooperation, docking time, incidence of transit to open approach, mechanical failure, complications, and negative surgical margin were analyzed.Result:Docking time was shortened from 50 to 15 min after 10 cases. The robotic surgeries were performed successfully on all of the 40 patients. There were no mechanical failure or perioperative complications. All surgical resection margins were free of carcinoma.Conclusion:In order to achieve professional cooperation with the surgeon and improve the efficiency, the assistant should be familiar with the steps and key points of TORS.