Cirugía robótica transoralconcepto e indicaciones

  1. Granell Navarro, José
  2. Garrido García, Laura
  3. Millás Gómez, Teresa
  4. Gutiérrez Fonseca, Raimundo
Revista:
Revista ORL

ISSN: 2444-7986,  2444-7986

Año de publicación: 2013

Volumen: 4

Páginas: 76-95

Tipo: Artículo

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Otras publicaciones en: Revista ORL

Resumen

Introduction. Transoral robotic surgery is a step forward in the evolution of minimally invasive surgery in the head and neck, optimizing the two basic requirements of such surgical approaches: excellent vision and freedom of handling. Its development since 2009 has been explosive. Materials and Methods. We describe the technical aspects of the da Vinci robotic surgery system and the basic surgical procedures (radical tonsillectomy, resection of the tongue base and supraglottic laryngectomy). Through a literature review we present the available clinical experience .Results. Transoral robotic surgery has been applied mainly for head and neck cancer. Large enough series have been published with functional and oncological results, which are comparable to those with the standard techniques. Robotic surgery particularly widens the possibilities for the transoral approach to the oropharynx. The surgical approach to the base of the tongue also opens new possibilities in the management of sleep apnea. The robotic approaches to the skull base are still experimental. Discussion. Available data support the use of transoral robotic surgery and prompt towards substantial changes in the management protocols for head and neck cancer.

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