TY - JOUR
T1 - Robot-Assisted neck dissection through a modified facelift incision
AU - Albergotti, William G.
AU - Byrd, James K.
AU - Nance, Melonie
AU - Choi, Eun Chang
AU - Koh, Yoon Woo
AU - Kim, Seungwon
AU - Duvvuri, Umamaheswar
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Dr Byrd was funded by a clinical robotics training and research grant from Intuitive Surgical, Inc. This work was supported in part by a Career Development Award from the Department of Veterans Affairs BLR&D and the PNC Foundation (U.D).
Publisher Copyright:
© The Author(s) 2015.
PY - 2016/2
Y1 - 2016/2
N2 - Objectives: The aim of this study is to describe the feasibility as well as oncologic outcomes of robot-Assisted neck dissection (RAND) through a modified facelift incision in an American population. Study Design: Retrospective case series. Setting: University tertiary care hospital. Methods: All patients who underwent RAND between November 2012 and December 2014 were included. Medical records were reviewed for demographics, medical histories, staging, operative information, postoperative hospital course and complications, and oncologic outcomes. Results: There were 11 RANDs identified among 10 patients. Five patients had known nodal metastasis at the time of surgery. Two patients had been previously irradiated. The average time of surgery was 284.4 ± 72.3 minutes, including other associated procedures. The average lymph node yield was 28.5 ± 9.3 nodes. There were no major complications. Average follow-up was 19.4 months. There was 1 supraclavicular recurrence in a previously irradiated patient. All patients are currently alive and without evidence of disease. Conclusions: Robot-Assisted neck dissection is a safe and feasible procedure that can be performed by surgeons with familiarity with neck dissection and robot-Assisted surgery and who have been trained in RAND. Appropriate oncologic outcomes can be obtained in a patient wishing to avoid a noticeable scar.
AB - Objectives: The aim of this study is to describe the feasibility as well as oncologic outcomes of robot-Assisted neck dissection (RAND) through a modified facelift incision in an American population. Study Design: Retrospective case series. Setting: University tertiary care hospital. Methods: All patients who underwent RAND between November 2012 and December 2014 were included. Medical records were reviewed for demographics, medical histories, staging, operative information, postoperative hospital course and complications, and oncologic outcomes. Results: There were 11 RANDs identified among 10 patients. Five patients had known nodal metastasis at the time of surgery. Two patients had been previously irradiated. The average time of surgery was 284.4 ± 72.3 minutes, including other associated procedures. The average lymph node yield was 28.5 ± 9.3 nodes. There were no major complications. Average follow-up was 19.4 months. There was 1 supraclavicular recurrence in a previously irradiated patient. All patients are currently alive and without evidence of disease. Conclusions: Robot-Assisted neck dissection is a safe and feasible procedure that can be performed by surgeons with familiarity with neck dissection and robot-Assisted surgery and who have been trained in RAND. Appropriate oncologic outcomes can be obtained in a patient wishing to avoid a noticeable scar.
KW - head and neck squamous cell carcinoma
KW - head and neck surgery
KW - neck dissection
KW - surgical outcomes
KW - treatment of head and neck tumors
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U2 - 10.1177/0003489415601127
DO - 10.1177/0003489415601127
M3 - Article
C2 - 26282589
AN - SCOPUS:84962595749
SN - 0003-4894
VL - 125
SP - 123
EP - 129
JO - Annals of Otology, Rhinology and Laryngology
JF - Annals of Otology, Rhinology and Laryngology
IS - 2
ER -