Otolaryngology, Head and Neck Surgery Department, Louvain University Hospital of Mont-Godinne, Dr Therasse Avenue, No 1, 5530 Yvoir, Belgium.
Eur Arch Otorhinolaryngol. 2012 Jul;269(7):1833-7. doi: 10.1007/s00405-011-1838-x. Epub 2011 Nov 20.
We present a series of patients treated by transoral robotic surgery (TORS) using a new CO(2) laser wave guide (CO(2) LWG) (Lumenis, Santa Clara, CA). Patients older than 18 years, with malignant pharyngo-laryngeal tumors were enrolled in this prospective study after signing an informed consent. Four patients were enrolled in the study. The mean age was 56 years. One patient had a T1 base of tongue tumor, two patients had supraglottic tumors (T1, T2), and one had a T1 palatine tonsil tumor. All the procedures could be performed using a Maryland forceps, a 0° endoscope and a CO(2) LWG introduced via the robotic arm introducer. The laser parameters were: superpulse or continuous mode, 7-15 W, continuous delivery. The average set-up time was 30 min. The average surgical time was 94 min. No complications were noted due to the intraoperative use of the robot or the CO(2) LWG. One laser fiber was used for each of the surgeries. The mean coagulation depth was 200 μm (range 100-300). The mean hospital stay was 6 days. The CO(2) LWG is a reliable tool for TORS. It allowed more than 1 h of work without any trouble.
我们介绍了一系列接受经口机器人手术（TORS）治疗的患者，他们使用了一种新型的二氧化碳激光导光纤维（CO2 LWG）（科医人，圣克拉拉，CA）。这项前瞻性研究招募了年龄在 18 岁以上、患有恶性咽喉肿瘤的患者，并在签署知情同意书后入组。共有 4 名患者入组本研究。平均年龄为 56 岁。1 名患者为舌根部 T1 肿瘤，2 名患者为声门上区肿瘤（T1、T2），1 名患者为腭扁桃体 T1 肿瘤。所有手术都可以使用马里兰州持针器、0°内窥镜和通过机器人臂引入器引入的 CO2 LWG 进行操作。激光参数为：超脉冲或连续模式，7-15W，连续输送。平均设置时间为 30 分钟。平均手术时间为 94 分钟。由于术中使用机器人或 CO2 LWG，没有发生任何并发症。每台手术使用一根激光纤维。平均凝固深度为 200μm（范围 100-300μm）。平均住院时间为 6 天。CO2 LWG 是 TORS 的可靠工具。它允许超过 1 小时的无故障工作。
