Otolaryngology, Audiology and Phoniatric Operative Unit, Department of Surgical, Medical, Molecular Pathology and Critical Care Medicine, Azienda Ospedaliero-Universitaria Pisana (AOUP), University of Pisa, Pisa, Italy.
J Robot Surg. 2021 Feb;15(1):1-12. doi: 10.1007/s11701-020-01132-0. Epub 2020 Aug 4.
In this paper, we reviewed the current literature about TORS procedures performed with Xi system and we discussed the pros and cons of this robotic system comparing it to the previous Si model. A systematic literature review was conducted using the PubMed, Scopus, Web of Science and Cochrane databases for adequate published studies about TORS procedure performed with da Vinci Si and Xi models. Five papers on the TORS-Xi procedures met our inclusion and exclusion criteria. These papers showed results based on 74 subjects (mean age 60.51 ± 4.55 years old). The most common TORS procedure was performed to address the oropharynx (65 procedures). One case (1.35%) of a tongue base tumor was converted into a transmandibular approach. One subject (1.35%) had a positive margin, while two subjects (2.7%) had close/uncertain margins at final histology. Nine papers on the TORS-Si procedures met our inclusion and exclusion criteria. These papers showed results based on 128 subjects (mean age 59.79 ± 5.93 years old). The most common TORS procedure was performed to address the oropharynx (90 procedures). Three procedures (2.34%) were aborted due to inadequate exposure of the tumor. None of the subject had positive margins, while three subjects (2.34%) had close/uncertain margins at final histology. Despite its improved vision, easier docking and narrower robotic arms, the da Vinci Xi system has structural peculiarities that limit its applications for certain TORS procedures.
在本文中，我们回顾了目前关于 Xi 系统下 TORS 手术的文献，并将该机器人系统与之前的 Si 模型进行了比较，讨论了其优缺点。我们使用 PubMed、Scopus、Web of Science 和 Cochrane 数据库对达芬奇 Si 和 Xi 模型下 TORS 手术的充分发表的研究进行了系统的文献回顾。有 5 篇关于 TORS-Xi 手术的论文符合我们的纳入和排除标准。这些论文基于 74 名受试者（平均年龄 60.51±4.55 岁）得出了结果。最常见的 TORS 手术是用于处理口咽（65 例）。1 例（1.35%）舌根肿瘤转为经下颌骨入路。1 例（1.35%）边缘阳性，2 例（2.7%）最终组织学检查边缘接近/不确定。有 9 篇关于 TORS-Si 手术的论文符合我们的纳入和排除标准。这些论文基于 128 名受试者（平均年龄 59.79±5.93 岁）得出了结果。最常见的 TORS 手术是用于处理口咽（90 例）。由于肿瘤暴露不足，有 3 例手术（2.34%）被中止。没有受试者边缘阳性，3 例（2.34%）最终组织学检查边缘接近/不确定。尽管达芬奇 Xi 系统具有改进的视野、更容易的对接和更窄的机器臂，但它具有限制某些 TORS 手术应用的结构特点。
