Single port robotic surgery for pleomorphic adenomas of the parapharyngeal space
Objectives: Transoral robotic surgery (TORS) is an effective technique for patients with oropharyngeal malignancies. Recent advancements have allowed for the use of the Single Port (SP) system from Intuitive Surgical. Here, we present the first documented case series describing the parameters and te...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-06-01
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| Series: | Oral Oncology Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772906024003935 |
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| author | Daniel Gorelik David Allen Nathaniel Hunter Joshua J. Kain |
| author_facet | Daniel Gorelik David Allen Nathaniel Hunter Joshua J. Kain |
| author_sort | Daniel Gorelik |
| collection | DOAJ |
| description | Objectives: Transoral robotic surgery (TORS) is an effective technique for patients with oropharyngeal malignancies. Recent advancements have allowed for the use of the Single Port (SP) system from Intuitive Surgical. Here, we present the first documented case series describing the parameters and techniques used to treat patients with parapharyngeal space (PPS) tumors using the da Vinci SP robotic system from Intuitive Surgical. Materials and methods: Two patients treated with the da Vinci SP platform at Houston Methodist Hospital for PPS tumors were identified. Their preoperative, operative, and postoperative courses and the operative setup and techniques were documented. Results: The two patients experienced a favorable operative and post-operative course, for which pathology revealed pleomorphic adenomas in both cases. One patient experienced a recurrence of her tumor 12 months postoperatively, which was managed with adjuvant radiotherapy and revision surgery. Both patients are disease-free at 6 and 3 months after treatment concluded. Conclusion: SP TORS is a novel and safe approach for addressing benign PPS tumors and should be considered for these patients. Further research should provide further information on the benefit of this approach compared to standard operative techniques. |
| format | Article |
| id | doaj-art-a84c287c52fc4281854d034c7efc366f |
| institution | Kabale University |
| issn | 2772-9060 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Oral Oncology Reports |
| spelling | doaj-art-a84c287c52fc4281854d034c7efc366f2025-01-09T06:16:42ZengElsevierOral Oncology Reports2772-90602024-06-0110100547Single port robotic surgery for pleomorphic adenomas of the parapharyngeal spaceDaniel Gorelik0David Allen1Nathaniel Hunter2Joshua J. Kain3Department of Otolaryngology-Head and Neck Surgery, Houston Methodist Hospital, Houston, 6550 Fannin St, Floor 17, Houston, TX, 77030, USADepartment of Otolaryngology-Head and Neck Surgery, The University of Texas Health Science Center in Houston, Houston, 6400 Fannin Street, Suite 2700, Houston, 77030, TX, USAJohn P. and Katherine G. McGovern Medical School, The University of Texas Health Science Center in Houston, Houston, 6431 Fannin St, Houston, 77030, TX, USACorresponding author. Levine Cancer Institute, 1021 Morehead Medical Drive, Suite 3300, Atrium Health, Charlotte, NC, 28204, USA.; Division of Surgical Oncology: Head and Neck Surgery, Levine Cancer Institute, 1021 Morehead Medical Drive, Suite 3300, Atrium Health, Charlotte, NC, 28204, USAObjectives: Transoral robotic surgery (TORS) is an effective technique for patients with oropharyngeal malignancies. Recent advancements have allowed for the use of the Single Port (SP) system from Intuitive Surgical. Here, we present the first documented case series describing the parameters and techniques used to treat patients with parapharyngeal space (PPS) tumors using the da Vinci SP robotic system from Intuitive Surgical. Materials and methods: Two patients treated with the da Vinci SP platform at Houston Methodist Hospital for PPS tumors were identified. Their preoperative, operative, and postoperative courses and the operative setup and techniques were documented. Results: The two patients experienced a favorable operative and post-operative course, for which pathology revealed pleomorphic adenomas in both cases. One patient experienced a recurrence of her tumor 12 months postoperatively, which was managed with adjuvant radiotherapy and revision surgery. Both patients are disease-free at 6 and 3 months after treatment concluded. Conclusion: SP TORS is a novel and safe approach for addressing benign PPS tumors and should be considered for these patients. Further research should provide further information on the benefit of this approach compared to standard operative techniques.http://www.sciencedirect.com/science/article/pii/S2772906024003935Head and neck cancerParapharyngeal space tumorPleomorphic adenomada Vinci surgical systemTransoral robotic surgery |
| spellingShingle | Daniel Gorelik David Allen Nathaniel Hunter Joshua J. Kain Single port robotic surgery for pleomorphic adenomas of the parapharyngeal space Oral Oncology Reports Head and neck cancer Parapharyngeal space tumor Pleomorphic adenoma da Vinci surgical system Transoral robotic surgery |
| title | Single port robotic surgery for pleomorphic adenomas of the parapharyngeal space |
| title_full | Single port robotic surgery for pleomorphic adenomas of the parapharyngeal space |
| title_fullStr | Single port robotic surgery for pleomorphic adenomas of the parapharyngeal space |
| title_full_unstemmed | Single port robotic surgery for pleomorphic adenomas of the parapharyngeal space |
| title_short | Single port robotic surgery for pleomorphic adenomas of the parapharyngeal space |
| title_sort | single port robotic surgery for pleomorphic adenomas of the parapharyngeal space |
| topic | Head and neck cancer Parapharyngeal space tumor Pleomorphic adenoma da Vinci surgical system Transoral robotic surgery |
| url | http://www.sciencedirect.com/science/article/pii/S2772906024003935 |
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