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Updated: Jan 29, 2026
15:04
An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
12.7K
[Current Status and Future Prospects of Minimally Invasive and Function-Preserving Surgery]
1Division of Head and Neck Surgery, Miyagi Cancer Center.
Gan to Kagaku Ryoho. Cancer & Chemotherapy
|February 16, 2019
Summary
Minimally invasive surgery, including transoral videolaryngoscopic surgery (TOVS) and endoscopic laryngo-pharyngeal surgery (ELPS), aims to preserve laryngeal function for vocalization, swallowing, and respiration. Open surgery offers options for advanced cancer cases, enhancing function preservation through improved techniques and imaging.
Area of Science:
- Head and Neck Surgery
- Oncologic Surgery
- Laryngology
Background:
- 21st-century surgical treatment emphasizes minimally invasive and function-preserving approaches, particularly for laryngeal function (vocalization, swallowing, respiration).
- Head and neck cancer surgery has seen advancements in transoral surgery, with oral endoscopic surgery being a primary method in Japan.
Purpose of the Study:
- To explore the evolution and current state of minimally invasive and function-preserving surgical techniques for head and neck cancers.
- To highlight the importance of vocalization, swallowing, and nasal respiration functions in laryngeal function preservation.
- To discuss the role of both transoral surgeries and open surgery in optimizing patient outcomes.
Main Methods:
- Review of minimally invasive surgical techniques, including transoral videolaryngoscopic surgery (TOVS) and endoscopic laryngo-pharyngeal surgery (ELPS) in Japan.
- Discussion of transoral robotic surgery (TORS) prevalence overseas and its expected adoption in Japan.
- Consideration of open surgery approaches for invasive cancers, focusing on resection area and swallowing improvement surgery.
Main Results:
- Transoral surgeries like TOVS and ELPS are widely performed in Japan for laryngeal function preservation.
- Transoral robotic surgery (TORS) is common internationally and anticipated for Japanese insurance coverage.
- Open surgery requires precise resection planning and swallowing reconstruction for advanced cases, expanding function-preserving options.
Conclusions:
- Advancements in imaging and surgical technology enable high-precision surgeries with minimized postoperative functional damage.
- Continuous innovation beyond existing concepts is crucial for developing next-generation surgical treatments.
- Integrating evolved technology into surgical practices is key to enhancing function preservation in head and neck cancer treatment.
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