Affordable Access

deepdyve-link
Publisher Website

Cervical-transoral robotic nasopharyngectomy: A preclinical study.

Authors
  • Gorphe, Philippe1
  • Stein, Hubert2
  • Moya-Plana, Antoine1
  • 1 Department of Head and Neck Oncology, Gustave Roussy Institute, University Paris-Saclay, Villejuif, France. , (France)
  • 2 Department of Global Clinical Development, Intuitive Surgical Inc., Sunnyvale, California.
Type
Published Article
Journal
Head & neck
Publication Date
Nov 21, 2019
Identifiers
DOI: 10.1002/hed.26013
PMID: 31750609
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

We performed a preclinical study to assess the feasibility of the cervical-transoral robotic pharyngectomy procedure in surgery for nasopharyngeal cancer, where deep margins and vascular safety are key issues. Four cadaveric dissections were performed with the da Vinci Xi system. The first step was a robotic parapharyngeal dissection along the internal carotid artery (ICA). The second step was a type 3 transoral robotic nasopharyngectomy. In each procedure, a comprehensive dissection of the parapharyngeal space was performed along the ICA up to the foramen lacerum. A type 3 nasopharyngectomy was performed transorally with an "en-bloc" removal of the parapharyngeal space, and with complete removal of the eustachian tube up to its bony part. A comprehensive cervical-transoral robotic type 3 nasopharyngectomy with "en-bloc" removal of the parapharyngeal space and the eustachian tube proved to be technically feasible in a preclinical study. © 2019 Wiley Periodicals, Inc.

Report this publication

Statistics

Seen <100 times