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The indications, surgical techniques, and complications of transoral robotic surgery in total laryngectomy: a systematic review

Published online by Cambridge University Press:  23 April 2024

Alexandros Poutoglidis Open the ORCID record for Alexandros Poutoglidis [Opens in a new window] ,
Evropi Forozidou ,
Georgios Fyrmpas ,
Konstantinos Vlachtsis  and
Paraskevi Karamitsou Open the ORCID record for Paraskevi Karamitsou [Opens in a new window]
Alexandros Poutoglidis*
Affiliation:
Department of Anatomy and Surgical Anatomy, Faculty of Health Sciences, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece
Evropi Forozidou
Affiliation:
Department of Otorhinolaryngology–Head and Neck Surgery, ‘G. Papanikolaou’ General Hospital, Thessaloniki, Greece
Georgios Fyrmpas
Affiliation:
Department of Otorhinolaryngology–Head and Neck Surgery, Medical School, Democritus University of Thrace, Alexandroupoli, Greece
Konstantinos Vlachtsis
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, ‘G. Gennimatas’ General Hospital, Thessaloniki, Greece
Paraskevi Karamitsou
Affiliation:
Department of Otorhinolaryngology–Head and Neck Surgery, ‘G. Papanikolaou’ General Hospital, Thessaloniki, Greece
*
Corresponding author: Alexandros Poutoglidis; Email: [email protected]
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Abstract

Objective

Transoral robotic surgery total laryngectomy is a promising procedure. We conducted a systematic review to study the indications, surgical techniques and complications of this procedure.

Methods

We followed the guidelines outlined in the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement.

Results

We concluded with 5 studies and 27 surgeries. The main indications of transoral robotic surgery total laryngectomy were selected recurrent laryngeal squamous cell carcinomas, dysfunctional larynx, and specific primary non-squamous cell carcinoma laryngeal cancers. The rate of pharyngocutaneous fistula was 20 per cent overall. In every reported cancer case, the specimen was excised within negative surgical margins. The average time of the procedure was 282.6 minutes.

Conclusion

Transoral robotic surgery total laryngectomy is a safe procedure of high value. The preservation of strap muscles and hyoid bone as well as the sacrifice of less mucosa compared to the traditional technique reduces the risk of certain complications and improves the swallowing outcome.

Keywords

Surgical oncologyrobotic surgical procedureslaryngectomycutaneous fistula
Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 138 , Issue 9 , September 2024 , pp. 878 - 883
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Alexandros Poutoglidis takes responsibility for the integrity of the content of the paper

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