Zoysa Nilantha De, Sethi Neeraj, Jose Jemy
Department of Otolaryngology - Head and Neck Surgery, Hull and East Yorkshire Hospitals NHS Trust, Hull, HU3 2JZ, United Kingdom.
Head Neck. 2017 Oct;39(10):2127-2131. doi: 10.1002/hed.24799. Epub 2017 May 26.
Endoscopic, video-assisted transoral resection of oropharyngeal tumors is a novel technique carried out using common instruments present in most otolaryngology departments. The technique facilitates oropharyngeal resection akin to transoral robotic surgery (TORS) without the need for a robot. A dual surgeon approach, analogous to that of endoscopic skull base surgery is used. Each surgeon can actively participate in the resection with several key advantages over current techniques. The technique is applicable to departments internationally especially where the use of a robot is prohibited by cost or availability. This is especially important given the resection of oropharyngeal tumours offers the opportunity of single modality treatment or reduced intensity adjuvant treatment compared to traditional non-surgical therapy.
内镜辅助经口切除口咽肿瘤是一种利用大多数耳鼻喉科科室都有的常规器械开展的新技术。该技术类似于经口机器人手术(TORS),无需机器人即可实现口咽切除。采用了类似于内镜颅底手术的双外科医生操作方式。每位外科医生都能积极参与切除手术,与现有技术相比具有多项关键优势。该技术在国际上的各科室都适用,尤其是在因成本或设备可用性而无法使用机器人的地方。鉴于与传统非手术治疗相比,口咽肿瘤切除提供了单一模式治疗或降低强度辅助治疗的机会,这一点尤为重要。