Head and Neck Oncology Service, Candiolo Cancer Institute, FPO - IRCCS, Candiolo (TO), Italy.
Department of Oncology, University of Turin, Orbassano (TO), Italy.
Acta Otorhinolaryngol Ital. 2021 Oct;41(5):419-431. doi: 10.14639/0392-100X-N1293.
The recent introduction of 3D exoscopic surgery has engendered interesting technical improvements in head and neck surgery. The main goal of this study was to describe the application of 3D exoscopic technology on a wide range of pathologies of the neck, benign and malignant, through a minimally invasive retroauricular approach.
In the period January-December, 2019, 40 consecutive patients underwent neck surgery with a retroauricular approach, enhanced by using a 3D exoscope at the Head and Neck Oncological Unit of Candiolo Cancer Institute.
Data regarding time to drain removal, length of hospitalisation, degree of pain experienced, need for opioid drugs during hospitalisation and after discharge, and intra-operative and post-operative complications were collected. All patients were followed for a minimum of 90 days with possible complications evaluated at each post-operative visit. Post-operative outcomes were evaluated at 3 months after surgery.
The current study indicates that VITOM-3D-assisted retroauricular neck surgery (RANS-3D) may be an interesting approach for neck surgery. The hybrid execution of neck dissection under direct and exoscopic vision represents a valid alternative to video-assisted endoscopic- and robot-assisted techniques.
3D 外窥手术的新近引入，为头颈部外科带来了有趣的技术改进。本研究的主要目的是描述通过耳后微创入路，将 3D 外窥技术应用于广泛的颈部良、恶性病变。
2019 年 1 月至 12 月，40 例连续患者在坎迪奥洛癌症研究所头颈肿瘤科接受了经耳后入路的颈部手术，同时使用 3D 外窥镜增强手术。
收集了有关引流管拔除时间、住院时间、疼痛程度、住院期间和出院后需要阿片类药物、术中及术后并发症的数据。所有患者均随访至少 90 天，每次术后随访时评估可能出现的并发症。术后结果在术后 3 个月进行评估。
本研究表明，VITOM-3D 辅助耳后颈部手术（RANS-3D）可能是一种用于颈部手术的有趣方法。直接和外窥镜下的颈部解剖联合执行，代表了对视频辅助内镜和机器人辅助技术的有效替代。
