Lechien Jerome R, Haddad Leonardo, Holsinger F Christopher, Mendelsohn Abie H, Hans Stephane
Department of Otolaryngology and Head and Neck Surgery, Foch Hospital Paris Saclay University Paris France.
Department of Otolaryngology and Head and Neck Surgery, Division of Broncho-Esophagology, EpiCURA Hospital UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons) Mons Belgium.
Laryngoscope Investig Otolaryngol. 2022 Dec 25;8(1):95-102. doi: 10.1002/lio2.1003. eCollection 2023 Feb.
To investigate perception, adoption and awareness of otolaryngologist-head neck surgeons (OTO-HNS) toward transoral robotic surgery (TORS).
An online survey was sent to 1383 OTO-HNS on the perception, adoption and awareness about TORS to members of many otolaryngological societies. The following aspects were assessed: TORS access; training; awareness/perception; indications and advantages/barriers to TORS practice. The responses were presented for the entire cohort and regarding the TORS experience of OTO-HNS.
A total of 359 completed the survey (26%); including 115 TORS surgeons. TORS-surgeons carry out a mean number of 34.4 annual TORS procedures. The primary barriers to TORS were the cost of the robot (74%) and disposable accessories (69%), and the lack of training opportunity (38%). The 3D view of the surgical field (66%), the postoperative quality of life outcomes (63%) and the shorter hospital stay (56%) were the most important benefits of TORS. TORS-surgeons believed more frequently that TORS is indicated for cT1-T2 oropharyngeal and supraglottic cancers than non-TORS surgeons ( < .005). Participants believed that the priorities for the future consisted of the reduction of the robot arm size and the incorporation of flexible instruments (28%); the integration of laser (25%) or GPS tracking based on imaging (18%), all of them to improve accesses to hypopharynx (24%), supraglottic larynx (23%) and vocal folds (22%).
The perception, adoption and knowledges toward TORS depend on the access to robot. The findings of this survey may help guide decisions on how improve the dissemination of TORS interest and awareness.
调查耳鼻咽喉头颈外科医生（OTO-HNS）对经口机器人手术（TORS）的认知、采用情况和了解程度。
向1383名OTO-HNS发送了一份关于TORS认知、采用情况和了解程度的在线调查问卷，对象为多个耳鼻咽喉科协会的成员。评估了以下方面：TORS的应用；培训；认知/了解程度；TORS手术的适应证及优势/障碍。呈现了整个队列的回复以及关于OTO-HNS的TORS手术经验的回复。
共有359人完成了调查（26%）；其中包括115名TORS手术医生。TORS手术医生每年平均进行34.4例TORS手术。TORS的主要障碍是机器人成本（74%）和一次性配件（69%），以及缺乏培训机会（38%）。手术视野的3D视图（�%）、术后生活质量结果（63%）和住院时间缩短（56%）是TORS最重要的优势。与非TORS手术医生相比，TORS手术医生更常认为TORS适用于cT1-T2口咽癌和声门上癌（<0.005）。参与者认为未来的优先事项包括减小机器人手臂尺寸和纳入柔性器械（28%）；整合激光（25%）或基于成像的GPS跟踪（18%），所有这些都是为了改善下咽（24%）、声门上喉（23%）和声带（22%）的手术入路。
对TORS的认知、采用情况和了解程度取决于机器人的获取情况。本次调查结果可能有助于指导关于如何提高TORS兴趣和认知传播的决策。
