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One‐year outcomes for da Vinci single port robot for transoral robotic surgery

Kathryn M. Van Abel, Linda X. Yin, Daniel L. Price, J.R. Janus, Jan L. Kasperbauer, Eric J. Moore

2020Head & Neck51 citationsDOI

Abstract

Abstract Background The da Vinci single‐port (SP) robot is a new instrument for transoral robotic surgery (TORS) in oropharyngeal cancers (OPSCCs). We describe one‐year SP surgical outcomes and compare them to da Vinci Si outcomes. Methods Retrospective cohort study at a high‐volume TORS center. Consecutive patients undergoing TORS SP procedures from 10/2018 to 09/2019 were included. SP OPSCC outcomes were compared to a historical cohort of Si OPSCC patients. t tests were used to compare continuous variables; χ 2 or Wilcoxon rank‐sum tests were used to compare nonparametric categorical variables. Results Seventy‐eight patients underwent SP TORS. The bleed rate was 5.1%, mortality rate was 2.6%, and conversion rate was 0%. Compared to the Si cohort, OPSCC patients undergoing TORS SP procedures saw no significant differences in operative time or post‐TORS bleeds ( P > .05). Conclusions The SP is a comparably safe surgical instrument. Overall learning curve for the SP was rapid among experienced TORS surgeons.

Topics & Concepts

Transoral robotic surgeryMedicineCohortRetrospective cohort studyWilcoxon signed-rank testPort (circuit theory)SurgeryBleedGeneral surgeryInternal medicineMann–Whitney U testElectrical engineeringEngineeringHead and Neck Cancer StudiesGastric Cancer Management and OutcomesMinimally Invasive Surgical Techniques
One‐year outcomes for da Vinci single port robot for transoral robotic surgery | Litcius