Shankar Ravi, Mishra Aseem, Malik Akshat
Head & Neck Services, Department of Surgical Oncology, Mahamana Pandit Madan Mohan Malviya Cancer Centre and Tata Memorial Centre, Varanasi, India.
Department of Head and Neck Surgical Oncology, Max Superspeciality Hospital, Saket, New Delhi, India.
Indian J Surg Oncol. 2022 Jun;13(2):436-442. doi: 10.1007/s13193-022-01526-6. Epub 2022 Feb 27.
Transoral robotic surgery has been gaining widespread acceptance for the treatment of oropharyngeal malignancies. It has shown tremendous growth in the field of non-oropharyngeal malignancies like thyroidectomy, neck dissection, and parapharyngeal tumours. Many studies have aimed at studying the safety and efficacy of the technique. The literature is abundant for procedures and treatment protocols for oropharyngeal malignancy; however, there is paucity on its usability in non-oropharyngeal malignancy. We aim to review the literature to analyse the usability of robotics in non-oropharyngeal tumours and study the evolution and future applications of robotics in head and neck cancer. A thorough literature search using keywords "Transoral robotic surgery", "TORS", " Robotics in Head and Neck", " Robot-assisted Neck Dissection", " Robotic Thyroidectomy", " Robotic Laryngectomy", " Robotics in salivary gland disease", " Parapharyngeal space", "Systematic review", and "Meta-analysis" was done. The articles were reviewed individually by each author for a dedicated sub-heading. A narrative review was formulated under the subheadings-thyroid surgery, salivary gland, neck dissection, parapharyngeal space, and laryngectomy. The role of robotics has expanded with the advances in technology. Non-oropharyngeal head and neck disease can be approached using robotics. Careful patient selection provides a significant advantage of function and cosmesis and helps in avoiding inadvertent complications. With our growing experience, we might see a surge in robot-assisted head and neck surgery.
经口机器人手术在口咽恶性肿瘤的治疗中已得到广泛认可。它在甲状腺切除术、颈部淋巴结清扫术和咽旁肿瘤等非口咽恶性肿瘤领域也有了巨大的发展。许多研究旨在探讨该技术的安全性和有效性。关于口咽恶性肿瘤的手术和治疗方案的文献很多；然而，其在非口咽恶性肿瘤中的实用性的文献却很少。我们旨在回顾文献，分析机器人技术在非口咽肿瘤中的实用性，并研究机器人技术在头颈癌中的发展及未来应用。我们使用关键词“经口机器人手术”“TORS”“头颈机器人技术”“机器人辅助颈部淋巴结清扫术”“机器人甲状腺切除术”“机器人喉切除术”“机器人技术在涎腺疾病中的应用”“咽旁间隙”“系统评价”和“Meta分析”进行了全面的文献检索。每位作者针对一个专门的副标题对文章进行了单独审阅。在甲状腺手术、涎腺、颈部淋巴结清扫术、咽旁间隙和喉切除术等副标题下进行了叙述性综述。随着技术的进步，机器人技术的作用不断扩大。机器人技术可用于治疗非口咽头颈疾病。仔细的患者选择能在功能和美容方面带来显著优势，并有助于避免意外并发症。随着我们经验的不断积累，机器人辅助头颈手术可能会激增。
