One‐year outcomes for da Vinci single port robot for transoral robotic surgery

Background The da Vinci single‐port (SP) robot is a new instrument for transoral robotic surgery (TORS) in oropharyngeal cancers (OPSCCs). We describe one‐year SP surgical outcomes and compare them to da Vinci Si outcomes. Methods Retrospective cohort study at a high‐volume TORS center. Consecutive...

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Bibliographic Details
Published in:Head & neck 2020-08, Vol.42 (8), p.2077-2087
Main Authors: Van Abel, Kathryn M., Yin, Linda X., Price, Daniel L., Janus, Jeffery R., Kasperbauer, Jan L., Moore, Eric J.
Format: Article
Language:English
Subjects:
Head and neck
HPV
oropharynx
Robotic surgery
single port
Surgical outcomes
TORS
transoral robotic surgery
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Summary:Background The da Vinci single‐port (SP) robot is a new instrument for transoral robotic surgery (TORS) in oropharyngeal cancers (OPSCCs). We describe one‐year SP surgical outcomes and compare them to da Vinci Si outcomes. Methods Retrospective cohort study at a high‐volume TORS center. Consecutive patients undergoing TORS SP procedures from 10/2018 to 09/2019 were included. SP OPSCC outcomes were compared to a historical cohort of Si OPSCC patients. t tests were used to compare continuous variables; χ2 or Wilcoxon rank‐sum tests were used to compare nonparametric categorical variables. Results Seventy‐eight patients underwent SP TORS. The bleed rate was 5.1%, mortality rate was 2.6%, and conversion rate was 0%. Compared to the Si cohort, OPSCC patients undergoing TORS SP procedures saw no significant differences in operative time or post‐TORS bleeds (P > .05). Conclusions The SP is a comparably safe surgical instrument. Overall learning curve for the SP was rapid among experienced TORS surgeons.
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.26143