McCann Adam C, Berger Connor, Mahmoud Ahmad F, Kuan Edward C, Malhotra Neil R, O'Malley Bert W
Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas.
Weill Cornell Medical College, New York, New York.
Laryngoscope. 2019 Jun;129(6):1395-1399. doi: 10.1002/lary.27489. Epub 2018 Nov 19.
Chordomas are rare, infiltrative neoplasms of notochordal origin that present along the spinal canal; en bloc surgical resection is paramount to successful treatment. Limited visualization and complex anatomy are major challenges to resection of upper cervical spine chordomas and often require invasive surgery. A 27-year-old male presented with an incidentally discovered chordoma of the midline second cervical vertebra of the spine. To obtain en bloc resection of the lesion while both overcoming limitations due to access and without introducing morbidity from traditional anterior approaches, we elected using transoral robotic surgery for resection. Due to complete resection, the patient remains disease-free and was spared adjuvant radiation. Laryngoscope, 129:1395-1399, 2019.
脊索瘤是一种罕见的、起源于脊索的浸润性肿瘤，沿椎管生长；整块手术切除是成功治疗的关键。可视化受限和解剖结构复杂是上颈椎脊索瘤切除的主要挑战，通常需要进行侵入性手术。一名27岁男性偶然发现脊柱第二颈椎中线处有脊索瘤。为了整块切除病变，同时克服因手术入路导致的局限性且不引入传统前路手术的并发症，我们选择使用经口机器人手术进行切除。由于实现了完全切除，患者无疾病复发，且无需接受辅助放疗。《喉镜》，2019年，第129卷：第1395 - 1399页
