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Transoral robotic retropharyngeal node dissection in oropharyngeal squamous cell carcinoma: Patterns of metastasis and functional outcomes.
- Source :
-
Head & neck [Head Neck] 2017 Oct; Vol. 39 (10), pp. 1969-1975. Date of Electronic Publication: 2017 Jul 31. - Publication Year :
- 2017
-
Abstract
- Background: Assessment of the retropharyngeal lymph nodes is essential in the treatment for oropharyngeal squamous cell carcinoma (SCC). Transoral robotic retropharyngeal lymph node dissection (RPLND) may provide valuable staging information and guide selection of adjuvant therapy in a transoral robotic surgery (TORS) treatment paradigm.<br />Methods: Outcomes were compared between 30 patients with oropharyngeal SCC with tonsillar primaries undergoing RPLND and 37 stage-matched cases without RPLND.<br />Results: Retropharyngeal metastasis was confirmed in 6 patients undergoing RPLND. Compared with 37 stage-matched controls, there were no differences in length of stay, length of feeding tube dependence, net change in perioperative weight, or rates of hemorrhage and postoperative complications. RPLND altered adjuvant treatment recommendations in 1 of 30 patients.<br />Conclusion: RPLND is technically feasible by a purely transoral robotic approach. Its performance is not associated with worse swallowing outcomes or rates of complication. In select patients, RPLND may provide valuable staging information and guide the selection of adjuvant therapy.<br /> (© 2017 Wiley Periodicals, Inc.)
- Subjects :
- Adult
Aged
Carcinoma, Squamous Cell pathology
Enteral Nutrition statistics & numerical data
Female
Head and Neck Neoplasms pathology
Humans
Length of Stay statistics & numerical data
Lymph Node Excision adverse effects
Lymphatic Metastasis
Male
Middle Aged
Natural Orifice Endoscopic Surgery adverse effects
Oropharyngeal Neoplasms pathology
Postoperative Complications epidemiology
Prospective Studies
Registries
Robotic Surgical Procedures adverse effects
Squamous Cell Carcinoma of Head and Neck
Treatment Outcome
Carcinoma, Squamous Cell surgery
Head and Neck Neoplasms surgery
Lymph Node Excision methods
Natural Orifice Endoscopic Surgery methods
Oropharyngeal Neoplasms surgery
Robotic Surgical Procedures methods
Subjects
Details
- Language :
- English
- ISSN :
- 1097-0347
- Volume :
- 39
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Head & neck
- Publication Type :
- Academic Journal
- Accession number :
- 28758272
- Full Text :
- https://doi.org/10.1002/hed.24786