Gorphe P, Temam S, Kolb F, Qassemyar Q
Département de cancérologie cervico-faciale, Gustave-Roussy, 114, rue Edouard-Vaillant, 94800 Villejuif, France.
Département de cancérologie cervico-faciale, Gustave-Roussy, 114, rue Edouard-Vaillant, 94800 Villejuif, France.
Eur Ann Otorhinolaryngol Head Neck Dis. 2018 Feb;135(1):71-74. doi: 10.1016/j.anorl.2017.08.007. Epub 2017 Sep 18.
The transoral robotic oropharyngectomy surgical technique was initially described for resection of small stage T1 or T2 lesions and the surgical defect is usually allowed to heal by secondary intention. We propose a refined surgical approach adapted to more complex situations such as salvage surgery and surgery in an irradiated field, based on previous experience in open approaches for oropharyngeal cancer. Via a combined cervical-transoral approach, we perform en bloc resection of the parapharyngeal space combined with transoral robotic lateral oropharyngectomy. Reconstruction of the surgical defect is performed with a thin anterolateral thigh free flap.
经口机器人口咽切除术的手术技术最初是为切除小的T1或T2期病变而描述的，手术缺损通常任其通过二期愈合。基于先前在口咽癌开放手术中的经验，我们提出一种改进的手术方法，适用于更复杂的情况，如挽救性手术和在放疗区域的手术。通过颈-口联合入路，我们进行咽旁间隙整块切除并联合经口机器人侧方口咽切除术。手术缺损用薄的股前外侧游离皮瓣进行修复。
