ENT Institute and Department of Otolaryngology, Eye and ENT Hospital, Fudan University, Shanghai, China.
Research Units of New Technologies of Endoscopic Surgery in Skull Base Tumor, Chinese Academy of Medical Sciences, 2018RU003, Beijing, China.
Int J Med Robot. 2023 Feb;19(1):e2474. doi: 10.1002/rcs.2474. Epub 2022 Nov 27.
Transoral robotic surgery (TORS) is a reliable, minimally invasive approach for treating recurrent nasopharyngeal carcinoma (rNPC). However, tumours involving the internal carotid artery (ICA) are considered to be unsuitable for TORS. This paper presents the first case of transoral robotic resection of advanced rNPC involving the ICA.
This case is a 55 year-old male patient who received radiotherapy 27 years ago. This patient underwent a standard TORS resection 2 weeks after ipsilateral ICA embolization.
Postoperative Magnetic resonance imaging and biopsy results indicated total resection. During the 2 month follow-up, no severe complications were found, and the primary site was tumour-free.
This study preliminarily presents the feasibility and efficiency of advanced rNPC resection with TORS. TORS can potentially provide better quality of life for patients as a less invasive approach than current endoscopic surgery. Even so, the surgical approach should be selected strictly according to the tumour's location.
经口机器人手术（TORS）是治疗复发性鼻咽癌（rNPC）的一种可靠的微创方法。然而，涉及颈内动脉（ICA）的肿瘤被认为不适合 TORS。本文报道了首例涉及 ICA 的经口机器人切除晚期 rNPC 的病例。
这例患者为 55 岁男性，27 年前接受过放疗。该患者在同侧 ICA 栓塞后 2 周接受了标准的 TORS 切除。
术后磁共振成像和活检结果提示完全切除。在 2 个月的随访中，未发现严重并发症，原发部位无肿瘤。
本研究初步提出了 TORS 切除晚期 rNPC 的可行性和有效性。与目前的内镜手术相比，TORS 作为一种创伤更小的方法，可为患者提供更好的生活质量。即便如此，仍应根据肿瘤的位置严格选择手术方法。
