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Updated: Jun 12, 2025
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Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
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[Indications and early experience with transoral robotic surgery]
Krisztina Somogyvári1, István Háromi1, Kinga Jakab-Péter1
1Klinikai Központ, Pécsi Tudományegyetem, Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Pécs, Hungary. somogyvari.krisztina@pte.hu.
Magyar Onkologia
|September 19, 2024
Summary
Transoral robotic surgery (TORS) offers minimally invasive access for head and neck cancers, improving outcomes for oropharyngeal and unknown primary tumors. This organ-preserving approach enhances detection rates and patient quality of life.
Area of Science:
- Oncology
- Surgical Innovation
- Head and Neck Surgery
Context:
- Organ preservation is increasingly vital for head and neck malignancies.
- Minimally invasive techniques aim to reduce treatment side effects without compromising survival.
- Transoral robotic surgery (TORS) is emerging as a key technology in this field.
Purpose:
- To evaluate the utility and outcomes of transoral robotic surgery (TORS) for head and neck malignancies.
- To assess TORS efficacy in oropharyngeal cancers and cancers of unknown primary (CUP).
- To compare TORS with traditional diagnostic and surgical methods.
Summary:
- TORS procedures were performed on 27 patients between January 2023 and July 2024, including 15 p16-positive tumors and 19 neck dissections.
- TORS provides minimally invasive access to difficult-to-reach oropharyngeal structures, beneficial for young patients with HPV-associated cancers.
- For CUP, TORS, including tonsillectomy and tongue base mucosectomy, demonstrates higher primary tumor detection rates than FDG-PET/CT and blind biopsies.
Impact:
- TORS facilitates organ preservation and reduces negative consequences of cancer therapy.
- The technique improves survival and quality of life, particularly for HPV-associated oropharyngeal cancers.
- TORS enhances diagnostic accuracy for CUP, potentially altering treatment strategies and improving patient prognosis.
