Park Young Min, Byeon Hyung Kwon, Chung Hyun Pil, Choi Eun Chang, Kim Se-Heon
Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea.
Acta Otolaryngol. 2013 Jun;133(6):641-8. doi: 10.3109/00016489.2012.761350. Epub 2013 Feb 28.
The oncologic outcome of transoral robotic surgery (TORS) was comparable to radical open surgery. The TORS group showed a better functional recovery and quality of life (QOL) than the radical surgery group. Therefore, TORS was a valid treatment option as a minimally invasive surgery for selected patients with hypopharyngeal cancer.
To affirm rapid functional recovery and improved QOL of patients who underwent TORS, which is a minimally invasive surgical technique.
Between April 2008 and November 2011, 56 patients were enrolled in the study. During the study period, 30 patients underwent TORS and 26 patients underwent radical open surgery.
In the TORS and radical surgery groups, the 3-year overall survival rate was 85% and 78%, respectively, and disease-free survival was 81% and 76%, respectively. Significant differences were not observed in the overall survival and disease-free survival rates. As regards postoperative functional recovery, the TORS group showed statistically better results for decannulation, swallowing, and hospitalization compared with the radical surgery group. On the University of Washington (UW)-QOL, the TORS group showed better results than the radical open surgery group in the domains of pain, activity, recreation, swallowing, speech, anxiety, and health-related QOL.
经口机器人手术（TORS）的肿瘤学结果与根治性开放手术相当。TORS组在功能恢复和生活质量（QOL）方面比根治性手术组表现更好。因此，对于选定的下咽癌患者，TORS作为一种微创手术是一种有效的治疗选择。
确认接受TORS（一种微创手术技术）的患者能快速实现功能恢复并改善生活质量。
2008年4月至2011年11月期间，56例患者纳入本研究。在研究期间，30例患者接受了TORS，26例患者接受了根治性开放手术。
在TORS组和根治性手术组中，3年总生存率分别为85%和78%，无病生存率分别为81%和76%。总生存率和无病生存率未观察到显著差异。关于术后功能恢复，与根治性手术组相比，TORS组在拔管、吞咽和住院方面的统计学结果更好。在华盛顿大学（UW）生活质量量表上，TORS组在疼痛、活动、娱乐、吞咽、言语、焦虑和健康相关生活质量等领域的结果比根治性开放手术组更好。
