Robot-assisted level II-IV neck dissection through a modified facelift incision: Initial North American experience

W. Greer Albergotti, J. Kenneth Byrd, John R. De Almeida, Seungwon Kim, Umamaheswar Duvvuri

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)391-396
Number of pages6
JournalInternational Journal of Medical Robotics and Computer Assisted Surgery
Issue number4
StatePublished - Dec 1 2014
Externally publishedYes


  • Cancer
  • Head and neck surgery
  • Robotic neck dissection

ASJC Scopus subject areas

  • Surgery
  • Biophysics
  • Computer Science Applications


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