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Related Experiment Video

Updated: Jul 4, 2026

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
04:38

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Published on: April 19, 2024

589

Oropharyngeal Free Flap Inset With a Single Port Robot: A Case Series.

Brian Chen1,2, Anne Glenney1, Sophie Gerndt3

  • 1Department of Surgery, Division of Plastic Surgery, Allegheny Health Network, Pittsburgh, Pennsylvania, USA.

Microsurgery
|January 8, 2026
PubMed
Summary

Single port robotic surgery enables feasible free flap inset after transoral robotic surgery, improving visualization and reducing complications. This technique offers an alternative to open approaches for head and neck cancer reconstruction.

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Area of Science:

  • Head and Neck Surgery
  • Robotic Surgery
  • Reconstructive Surgery

Background:

  • Traditional oropharyngeal resection often requires lip-split mandibulotomy approach (LSMA), associated with high morbidity.
  • Transoral robotic surgery (TORS) offers a less invasive alternative for oropharyngeal resection.
  • Free flap (FF) inset after TORS can be challenging, potentially necessitating open procedures.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of single port (SP) robotic surgery for free flap (FF) inset following transoral robotic surgery (TORS).
  • To assess the functional and oncologic outcomes of this combined robotic approach.

Main Methods:

  • Retrospective review of five patients undergoing robotic FF inset using the SP robot after TORS between 2021 and 2022.
  • Data collected included patient and tumor characteristics, operative times, ischemia times, and postoperative outcomes.

Main Results:

  • Five cases were successfully completed with an average patient age of 62.4 years.
  • Average operative time was 528 minutes, with an average ischemia time of 156.6 minutes.
  • High functional oral intake scores (average 5.8/7) and no flap losses or wound healing issues were observed at a mean follow-up of 17.6 months.

Conclusions:

  • Single port robotic surgery is a feasible option for FF inset after TORS, offering improved visualization and maneuverability.
  • This technique allows plastic surgeons to decrease the complication profile associated with FF inset, potentially avoiding morbid open exposures.
  • The SP robot's advanced instrumentation and positioning capabilities enhance its utility in complex head and neck reconstruction.