Salvage Transoral Robotic Surgery for Recurrent or Residual Head and Neck Squamous Cell Carcinoma: A Single Institution Experience

Dabas, Surender; Dewan, Abhinav; Ranjan, Reetesh; Dewan, Ajay Kumar; Shukla, Himanshu; Sinha, Rupal

추천

검색

자료유형: 학술저널

저자정보: Dabas, Surender (Department of Surgical Oncology, Rajiv Gandhi Cancer Institute) Dewan, Abhinav (Department of Radiation Oncology, Rajiv Gandhi Cancer Institute) Ranjan, Reetesh (Department of Surgical Oncology, Rajiv Gandhi Cancer Institute) Dewan, Ajay Kumar (Department of Surgical Oncology, Rajiv Gandhi Cancer Institute) Shukla, Himanshu (Department of Surgical Oncology, Rajiv Gandhi Cancer Institute) Sinha, Rupal (Department of Research, Rajiv Gandhi Cancer Institute)

저널정보: 아시아태평양암예방학회 Asian Pacific journal of cancer prevention : APJCP Asian Pacific journal of cancer prevention : APJCP 제16권 제17호

발행연도: 2015.1

수록면: 7,627 - 7,632 (6page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Background: The present study was conducted to evaluate the technical feasibility, safety and adequacy of surgical margins with salvage transoral robotic surgery (TORS) for recurrent or residual head and neck squamous cell carcinoma patients. Materials and Methods: Thirty patients who underwent salvage TORS using the 'DaVinci' robot were enrolled in the study and data related to their surgical time, complications and functional outcome were recorded. Results: The feasibility of salvage TORS in our study was observed to be 100%. Positive margins were encountered in only 6.7% of patients. Mean blood loss was 23.3 ml with no patient requiring blood transfusion. Postoperative complications in the form of primary haemorrhage requiring active surgical intervention occurred in 13.3%. Oral feeding could be started as early as the 3rd postoperative day in a few patients, with nasogastric tubes being removed on the 12th postoperative day. Long term gastrostomy tube dependency was seen in 10% cases. Median survival of patients was 19 months. Conclusions: Salvage TORS is a safe, effective and feasible option in the management of treatment failure cases. It offers an alternative surgical approach with unexpected benefits in terms of tracheostomy tube use, Ryle's tube and gastrostomy dependence.

#Salvage TORS #recurrent or residual head neck cancer #feasability #safety

참고문헌 (0)

참고문헌 신청

참고문헌이 DBpia에서 서비스 중이라면, [참고문헌 신청]을 통해 등록해보세요

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!