Robotic transoral approach for salvage retropharyngeal node dissection: an analysis of functional and oncological outcomes

Presence of metastatic tumour in the retropharyngeal node has a negative impact on the prognosis. We present here our 5-year experience and the outcomes of transoral robotic retropharyngeal node dissection (RPND) in salvage settings. Hospital database was accessed to extract details of patients with...

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Bibliographic Details
Published in:Journal of robotic surgery 2022-04, Vol.16 (2), p.333-338
Main Authors: Dabas, Surender K., Chaddha, Yash, Sharma, Ashwani, Shukla, Himanshu, Ranjan, Reetesh, Gurung, Bikas, Padhiari, Ranjit, Subash, Anand
Format: Article
Language:English
Subjects:
Cancer
Carotid arteries
Dissection
Health services
Humans
Lymph Node Excision
Lymph Nodes - pathology
Lymph Nodes - surgery
Lymphatic Metastasis - pathology
Lymphatic system
Medicine
Medicine & Public Health
Metastasis
Minimally Invasive Surgery
Neck
Original Article
Ostomy
Patients
Radiation therapy
Retrospective Studies
Robotic surgery
Robotic Surgical Procedures - methods
Surgeons
Surgery
Tongue
Tumors
Urology
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Summary:Presence of metastatic tumour in the retropharyngeal node has a negative impact on the prognosis. We present here our 5-year experience and the outcomes of transoral robotic retropharyngeal node dissection (RPND) in salvage settings. Hospital database was accessed to extract details of patients with head and neck cancer who developed retropharyngeal (RP) node metastasis. Patients who underwent transoral robotic surgery (TORS) for RPND in salvage settings were included for the study. Patients were first followed-up after 10 days of discharge and then on a monthly basis after completion of treatment. At each follow-up, swallow functions and disease status were recorded. A total of 10 patients met the inclusion criteria and underwent salvage transoral robotic RPND. The total number of lymph nodes removed from these patients were 11, with all having malignant tumour deposits. The median follow-up was 20 months. Four patients developed distant metastasis. There were no major procedure-related complications. Our experience suggests that TORS as treatment modality is oncologically sound and feasible for salvage RP node dissection. Level of evidence Retrospective Study (3).
ISSN:1863-2483
1863-2491
DOI:10.1007/s11701-021-01241-4