Robot-assisted surgery for upper aerodigestive tract neoplasms.
Identifieur interne : 001686 ( PubMed/Checkpoint ); précédent : 001685; suivant : 001687Robot-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. CarrollSource :
- Archives of otolaryngology--head & neck surgery [ 1538-361X ] ; 2009.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Carcinome épidermoïde (), Carcinome épidermoïde (anatomopathologie), Complications postopératoires, Durée du séjour, Facteurs de l'âge, Femelle, Gastrostomie, Humains, Mâchoire édentée, Mâle, Perte sanguine peropératoire, Robotique, Tumeurs de la tête et du cou (), Tumeurs de la tête et du cou (anatomopathologie), Études prospectives, Évidement ganglionnaire cervical.
- MESH :
- anatomopathologie : Carcinome épidermoïde, Tumeurs de la tête et du cou.
- Adulte d'âge moyen, Carcinome épidermoïde, Complications postopératoires, Durée du séjour, Facteurs de l'âge, Femelle, Gastrostomie, Humains, Mâchoire édentée, Mâle, Perte sanguine peropératoire, Robotique, Tumeurs de la tête et du cou, Études prospectives, Évidement ganglionnaire cervical.
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:
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pubmed:19380364Le document en format XML
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<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>
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<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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<term>Tumeurs de la tête et du cou</term>
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<term>Head and Neck Neoplasms</term>
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<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>
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<term>Carcinome épidermoïde</term>
<term>Complications postopératoires</term>
<term>Durée du séjour</term>
<term>Facteurs de l'âge</term>
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<term>Gastrostomie</term>
<term>Humains</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Perte sanguine peropératoire</term>
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<term>Tumeurs de la tête et du cou</term>
<term>Études prospectives</term>
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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>
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<DateCompleted><Year>2009</Year>
<Month>05</Month>
<Day>28</Day>
</DateCompleted>
<DateRevised><Year>2009</Year>
<Month>04</Month>
<Day>21</Day>
</DateRevised>
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<JournalIssue CitedMedium="Internet"><Volume>135</Volume>
<Issue>4</Issue>
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<Month>Apr</Month>
</PubDate>
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<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>
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<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>
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<MeshHeading><DescriptorName UI="D006258" MajorTopicYN="N">Head and Neck Neoplasms</DescriptorName>
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