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Robot-assisted surgery for upper aerodigestive tract neoplasms.

Identifieur interne : 001686 ( PubMed/Checkpoint ); précédent : 001685; suivant : 001687

Robot-assisted surgery for upper aerodigestive tract neoplasms.

Auteurs : Bridget A. Boudreaux [États-Unis] ; Eben L. Rosenthal ; J Scott Magnuson ; J Robert Newman ; Reneé A. Desmond ; Lisa Clemons ; William R. Carroll

Source :

Archives of otolaryngology--head & neck surgery [ 1538-361X ] ; 2009.

RBID : pubmed:19380364

Descripteurs français

English descriptors

KwdEn :
- Age Factors, Blood Loss, Surgical, Carcinoma, Squamous Cell (pathology), Carcinoma, Squamous Cell (surgery), Female, Gastrostomy, Head and Neck Neoplasms (pathology), Head and Neck Neoplasms (surgery), Humans, Jaw, Edentulous, Length of Stay, Male, Middle Aged, Neck Dissection, Postoperative Complications, Prospective Studies, Robotics.
MESH :
- pathology : Carcinoma, Squamous Cell, Head and Neck Neoplasms.
- surgery : Carcinoma, Squamous Cell, Head and Neck Neoplasms.
- Age Factors, Blood Loss, Surgical, Female, Gastrostomy, Humans, Jaw, Edentulous, Length of Stay, Male, Middle Aged, Neck Dissection, Postoperative Complications, Prospective Studies, Robotics.

Abstract

To assess the feasibility and safety of performing robot-assisted resections of head and neck tumors, and to predict which variables lead to successful robot-assisted resection and better functional outcome.

DOI: 10.1001/archoto.2009.24
PubMed: 19380364

Affiliations:

États-Unis

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pubmed:19380364

Le document en format XML

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<author><name sortKey="Boudreaux, Bridget A" sort="Boudreaux, Bridget A" uniqKey="Boudreaux B" first="Bridget A" last="Boudreaux">Bridget A. Boudreaux</name>
<affiliation wicri:level="1"><nlm:affiliation>Division of Otolaryngology, BDB 563, 1530 Third Ave S, Birmingham, AL 35294-0012, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Rosenthal, Eben L" sort="Rosenthal, Eben L" uniqKey="Rosenthal E" first="Eben L" last="Rosenthal">Eben L. Rosenthal</name>
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<author><name sortKey="Magnuson, J Scott" sort="Magnuson, J Scott" uniqKey="Magnuson J" first="J Scott" last="Magnuson">J Scott Magnuson</name>
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<author><name sortKey="Newman, J Robert" sort="Newman, J Robert" uniqKey="Newman J" first="J Robert" last="Newman">J Robert Newman</name>
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<author><name sortKey="Desmond, Renee A" sort="Desmond, Renee A" uniqKey="Desmond R" first="Reneé A" last="Desmond">Reneé A. Desmond</name>
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<author><name sortKey="Clemons, Lisa" sort="Clemons, Lisa" uniqKey="Clemons L" first="Lisa" last="Clemons">Lisa Clemons</name>
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<author><name sortKey="Carroll, William R" sort="Carroll, William R" uniqKey="Carroll W" first="William R" last="Carroll">William R. Carroll</name>
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<author><name sortKey="Rosenthal, Eben L" sort="Rosenthal, Eben L" uniqKey="Rosenthal E" first="Eben L" last="Rosenthal">Eben L. Rosenthal</name>
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<author><name sortKey="Magnuson, J Scott" sort="Magnuson, J Scott" uniqKey="Magnuson J" first="J Scott" last="Magnuson">J Scott Magnuson</name>
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<author><name sortKey="Newman, J Robert" sort="Newman, J Robert" uniqKey="Newman J" first="J Robert" last="Newman">J Robert Newman</name>
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<author><name sortKey="Desmond, Renee A" sort="Desmond, Renee A" uniqKey="Desmond R" first="Reneé A" last="Desmond">Reneé A. Desmond</name>
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<author><name sortKey="Clemons, Lisa" sort="Clemons, Lisa" uniqKey="Clemons L" first="Lisa" last="Clemons">Lisa Clemons</name>
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<author><name sortKey="Carroll, William R" sort="Carroll, William R" uniqKey="Carroll W" first="William R" last="Carroll">William R. Carroll</name>
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<series><title level="j">Archives of otolaryngology--head & neck surgery</title>
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<term>Blood Loss, Surgical</term>
<term>Carcinoma, Squamous Cell (pathology)</term>
<term>Carcinoma, Squamous Cell (surgery)</term>
<term>Female</term>
<term>Gastrostomy</term>
<term>Head and Neck Neoplasms (pathology)</term>
<term>Head and Neck Neoplasms (surgery)</term>
<term>Humans</term>
<term>Jaw, Edentulous</term>
<term>Length of Stay</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neck Dissection</term>
<term>Postoperative Complications</term>
<term>Prospective Studies</term>
<term>Robotics</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Carcinome épidermoïde ()</term>
<term>Carcinome épidermoïde (anatomopathologie)</term>
<term>Complications postopératoires</term>
<term>Durée du séjour</term>
<term>Facteurs de l'âge</term>
<term>Femelle</term>
<term>Gastrostomie</term>
<term>Humains</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Perte sanguine peropératoire</term>
<term>Robotique</term>
<term>Tumeurs de la tête et du cou ()</term>
<term>Tumeurs de la tête et du cou (anatomopathologie)</term>
<term>Études prospectives</term>
<term>Évidement ganglionnaire cervical</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Carcinome épidermoïde</term>
<term>Tumeurs de la tête et du cou</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Carcinoma, Squamous Cell</term>
<term>Head and Neck Neoplasms</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Carcinoma, Squamous Cell</term>
<term>Head and Neck Neoplasms</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Age Factors</term>
<term>Blood Loss, Surgical</term>
<term>Female</term>
<term>Gastrostomy</term>
<term>Humans</term>
<term>Jaw, Edentulous</term>
<term>Length of Stay</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neck Dissection</term>
<term>Postoperative Complications</term>
<term>Prospective Studies</term>
<term>Robotics</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Carcinome épidermoïde</term>
<term>Complications postopératoires</term>
<term>Durée du séjour</term>
<term>Facteurs de l'âge</term>
<term>Femelle</term>
<term>Gastrostomie</term>
<term>Humains</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Perte sanguine peropératoire</term>
<term>Robotique</term>
<term>Tumeurs de la tête et du cou</term>
<term>Études prospectives</term>
<term>Évidement ganglionnaire cervical</term>
</keywords>
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<front><div type="abstract" xml:lang="en">To assess the feasibility and safety of performing robot-assisted resections of head and neck tumors, and to predict which variables lead to successful robot-assisted resection and better functional outcome.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">19380364</PMID>
<DateCompleted><Year>2009</Year>
<Month>05</Month>
<Day>28</Day>
</DateCompleted>
<DateRevised><Year>2009</Year>
<Month>04</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1538-361X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>135</Volume>
<Issue>4</Issue>
<PubDate><Year>2009</Year>
<Month>Apr</Month>
</PubDate>
</JournalIssue>
<Title>Archives of otolaryngology--head & neck surgery</Title>
<ISOAbbreviation>Arch. Otolaryngol. Head Neck Surg.</ISOAbbreviation>
</Journal>
<ArticleTitle>Robot-assisted surgery for upper aerodigestive tract neoplasms.</ArticleTitle>
<Pagination><MedlinePgn>397-401</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1001/archoto.2009.24</ELocationID>
<Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To assess the feasibility and safety of performing robot-assisted resections of head and neck tumors, and to predict which variables lead to successful robot-assisted resection and better functional outcome.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Prospective nonrandomized clinical trial.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Academic tertiary referral center.</AbstractText>
<AbstractText Label="PATIENTS" NlmCategory="METHODS">Thirty-six patients with oral cavity, oropharyngeal, hypopharyngeal, or laryngeal tumors.</AbstractText>
<AbstractText Label="INTERVENTION" NlmCategory="METHODS">Robot-assisted resection of indicated tumors.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Ability to perform robot-assisted resection, final pathologic margin status, ability to extubate postoperatively, need for tracheotomy tube, and need for gastrostomy tube. Any clinically significant complications were recorded.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Thirty-six patients participated in the study. Eight patients had previously been treated for head and neck cancer. Twenty-nine patients (81%) underwent successful robotic resection. Negative margins were obtained in all 29 patients. Twenty-one of 29 patients were safely extubated prior to leaving the operating room. One patient required short-term tracheotomy tube placement. A total of 9 patients were gastrostomy tube dependent (2 preoperatively, 7 postoperatively). Factors associated with successful robotic resection were lower T classification (P = .01) and edentulism (P = .07). Factors associated with gastrostomy tube dependence were advanced age (P = .02), tumor location in the larynx (P < .001), higher T classification (P = .02), and lower preoperative M. D. Anderson Dysphagia Inventory score (P = .04).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Robot-assisted surgery is feasible and safe for the resection of select head and neck tumors. This clinical series demonstrates that robotic surgery can be utilized successfully in patients with T1 to T4 lesions located in the oral cavity, oropharynx, hypopharynx, and larynx with good preservation of swallow function.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Boudreaux</LastName>
<ForeName>Bridget A</ForeName>
<Initials>BA</Initials>
<AffiliationInfo><Affiliation>Division of Otolaryngology, BDB 563, 1530 Third Ave S, Birmingham, AL 35294-0012, USA.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Rosenthal</LastName>
<ForeName>Eben L</ForeName>
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</Author>
<Author ValidYN="Y"><LastName>Magnuson</LastName>
<ForeName>J Scott</ForeName>
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<Author ValidYN="Y"><LastName>Newman</LastName>
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<Author ValidYN="Y"><LastName>Desmond</LastName>
<ForeName>Reneé A</ForeName>
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<Author ValidYN="Y"><LastName>Clemons</LastName>
<ForeName>Lisa</ForeName>
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</Author>
<Author ValidYN="Y"><LastName>Carroll</LastName>
<ForeName>William R</ForeName>
<Initials>WR</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<DataBankList CompleteYN="Y"><DataBank><DataBankName>ClinicalTrials.gov</DataBankName>
<AccessionNumberList><AccessionNumber>NCT00473564</AccessionNumber>
</AccessionNumberList>
</DataBank>
</DataBankList>
<PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Arch Otolaryngol Head Neck Surg</MedlineTA>
<NlmUniqueID>8603209</NlmUniqueID>
<ISSNLinking>0886-4470</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>AIM</CitationSubset>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016063" MajorTopicYN="N">Blood Loss, Surgical</DescriptorName>
</MeshHeading>
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<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005774" MajorTopicYN="N">Gastrostomy</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006258" MajorTopicYN="N">Head and Neck Neoplasms</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D037981" MajorTopicYN="N">Neck Dissection</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012371" MajorTopicYN="Y">Robotics</DescriptorName>
</MeshHeading>
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<name sortKey="Desmond, Renee A" sort="Desmond, Renee A" uniqKey="Desmond R" first="Reneé A" last="Desmond">Reneé A. Desmond</name>
<name sortKey="Magnuson, J Scott" sort="Magnuson, J Scott" uniqKey="Magnuson J" first="J Scott" last="Magnuson">J Scott Magnuson</name>
<name sortKey="Newman, J Robert" sort="Newman, J Robert" uniqKey="Newman J" first="J Robert" last="Newman">J Robert Newman</name>
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Robot-assisted surgery for upper aerodigestive tract neoplasms.

Robot-assisted surgery for upper aerodigestive tract neoplasms.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki