Pérez-Mitchell Carlos, Acosta Jaime A, Ferrer-Torres Luis E
P R Health Sci J. 2014 Jun;33(2):88-90.
Traditional open surgery has historically been the standard approach to treating many head and neck conditions. The introduction of the first robot into the surgical world in 1985 has been a keystone in the development of minimally invasive surgical (MIS) techniques. Transoral robotic surgery (TORS) is a minimally invasive technique used for the treatment of head and neck pathologies, including benign and malignant lesions. When performed in select patients, TORS offers low post-operative morbidity, along with very few functional and cosmetic compromises. Herein, we present the first TORS supraglottic partial laryngectomy performed in Puerto Rico or in any region in Latin America. A 68-year-old male who had previously undergone radiation therapy presented with hoarseness and weight loss. A suspension microlaryngoscopy showed a lesion of the left false vocal cord; a biopsy was performed. The patient was diagnosed with a supraglottic squamous cell carcinoma (T2N0M0); the tumor was completely excised using TORS. No post-operative complications occurred.
传统的开放手术在历史上一直是治疗许多头颈疾病的标准方法。1985年第一台机器人引入外科领域,这是微创外科(MIS)技术发展的一个关键转折点。经口机器人手术(TORS)是一种用于治疗头颈疾病的微创技术,包括良性和恶性病变。在特定患者中进行TORS手术时,术后发病率低,功能和美观方面的影响也极小。在此,我们展示了在波多黎各或拉丁美洲任何地区进行的首例TORS声门上部分喉切除术。一名68岁男性,此前接受过放射治疗,出现声音嘶哑和体重减轻症状。悬吊式显微喉镜检查显示左侧假声带病变;进行了活检。患者被诊断为声门上鳞状细胞癌(T2N0M0);使用TORS将肿瘤完全切除。未发生术后并发症。