Division of Otorhinolaryngology, Department of Surgery, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
Division of Head and Neck Surgery, Department of Surgery, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
Head Neck. 2022 Aug;44(8):1940-1947. doi: 10.1002/hed.27115. Epub 2022 Jun 1.
We have previously reported our early experience in robotic-assisted nasopharyngectomy. The current case series is a report of our experience in 33 robotic-assisted nasopharyngectomy.
Prospective series of patients who underwent robotic-assisted nasopharyngectomy for local recurrent nasopharyngeal carcinoma from January 2010 to March 2019.
Thirty-one patients underwent robotic-assisted nasopharyngectomy with two additional second procedure for positive margin. Median age is 55 years (29-85). Twenty-five patients had rT1 disease and six patients had tumor invaded sphenoid floor (rT3). Median operative time was 227 min and median blood loss was 200 ml. The median follow-up period for all patients were 38 months. Four patients had local recurrence. Five-year local control rate, overall survival, and disease-free survival are 85.1%, 55.7%, and 69.1%, respectively.
Robotic-assisted nasopharyngectomy for recurrent nasopharyngectomy was showed to have a high local control rate. The operating time was comparable to open surgery.
我们之前报道过我们在机器人辅助经口咽切除术方面的早期经验。本病例系列报告了我们在 33 例机器人辅助经口咽切除术的经验。
前瞻性系列病例，纳入 2010 年 1 月至 2019 年 3 月期间因局部复发性鼻咽癌接受机器人辅助经口咽切除术的患者。
31 例患者接受了机器人辅助经口咽切除术，其中 2 例因切缘阳性而进行了额外的二次手术。中位年龄为 55 岁（29-85 岁）。25 例患者为 rT1 期疾病，6 例患者肿瘤侵犯蝶骨底（rT3）。中位手术时间为 227 分钟，中位出血量为 200 毫升。所有患者的中位随访时间为 38 个月。4 例患者出现局部复发。5 年局部控制率、总生存率和无病生存率分别为 85.1%、55.7%和 69.1%。
机器人辅助经口咽切除术治疗复发性鼻咽癌具有较高的局部控制率。手术时间与开放手术相当。
