TY - JOUR
T1 - Robot-assisted level II-IV neck dissection through a modified facelift incision
T2 - Initial North American experience
AU - Greer Albergotti, W.
AU - Kenneth Byrd, J.
AU - De Almeida, John R.
AU - Kim, Seungwon
AU - Duvvuri, Umamaheswar
N1 - Publisher Copyright:
© 2014 John Wiley & Sons, Ltd.
PY - 2014/12/1
Y1 - 2014/12/1
N2 - Background: Cosmesis is of increasing importance to the otolaryngology patient population. This is the first report of clinical outcomes of robot-assisted neck dissection by North American groups. Methods: This is a retrospective case-control study. Cases included three patients who underwent isolated, ipsilateral robot-assisted neck dissection. Operative time, estimated blood loss, lymph node retrieval, total drainage, hospital stay and complications from this group were compared against the outcomes of six consecutive patients who underwent conventional neck dissection. Results: Operative times were longer in robot-assisted neck dissection (mean 234min) compared with the conventional neck dissection (mean 110min). There were no significant differences between the two groups in other outcomes. Conclusions: Robot-assisted selective neck dissection of levels II-IV is feasible through a modified facelift incision. Our initial data suggest that this procedure is surgically sound. It should be applied by experienced surgeons who wish to avoid a cervical incision.
AB - Background: Cosmesis is of increasing importance to the otolaryngology patient population. This is the first report of clinical outcomes of robot-assisted neck dissection by North American groups. Methods: This is a retrospective case-control study. Cases included three patients who underwent isolated, ipsilateral robot-assisted neck dissection. Operative time, estimated blood loss, lymph node retrieval, total drainage, hospital stay and complications from this group were compared against the outcomes of six consecutive patients who underwent conventional neck dissection. Results: Operative times were longer in robot-assisted neck dissection (mean 234min) compared with the conventional neck dissection (mean 110min). There were no significant differences between the two groups in other outcomes. Conclusions: Robot-assisted selective neck dissection of levels II-IV is feasible through a modified facelift incision. Our initial data suggest that this procedure is surgically sound. It should be applied by experienced surgeons who wish to avoid a cervical incision.
KW - Cancer
KW - Head and neck surgery
KW - Robotic neck dissection
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U2 - 10.1002/rcs.1585
DO - 10.1002/rcs.1585
M3 - Article
C2 - 24760419
AN - SCOPUS:84916230534
SN - 1478-5951
VL - 10
SP - 391
EP - 396
JO - International Journal of Medical Robotics and Computer Assisted Surgery
JF - International Journal of Medical Robotics and Computer Assisted Surgery
IS - 4
ER -