Comparison of Transoral Robotic Surgery and Endoscopic Laryngopharyngeal Surgery for Hypopharyngeal and Supraglottic Laryngeal Cancers

IF 1.5 Q4 GASTROENTEROLOGY & HEPATOLOGY

DEN open Pub Date : 2025-07-30 DOI:10.1002/deo2.70178

Tsutomu Ueda, Takayuki Taruya, Yuji Urabe, Minoru Hattori, Nobuyuki Chikuie, Yuki Sato, Takayoshi Hattori, Hiroaki Tahara, Takao Hamamoto, Takashi Ishino, Sachio Takeno

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引用次数: 0

Abstract

Objectives

We aimed to compare intraoperative and postoperative outcomes, technical advantages, and limitations of transoral robotic surgery (TORS) using the Da Vinci Xi robotic system and endoscopic laryngopharyngeal surgery (ELPS) for hypopharyngeal and supraglottic laryngeal cancers.

Methods

This single-center retrospective cohort study analyzed preoperative variables, intraoperative data, postoperative complications, and functional outcomes in patients with hypopharyngeal and supraglottic laryngeal cancers who underwent TORS or ELPS.

Results

Fifty patients were enrolled (21: TORS; 29: ELPS). Median age at treatment was 73 years (range, 51–87 years). Median resection time was significantly shorter for ELPS (23 min, range 6–124) than for TORS (42 min, range 6–155; p < 0.001). No significant association was observed between surgical approach and postoperative complication incidence. Multivariate analysis identified the presence of subepithelial invasion (p = 0.0089) as an independent predictor of postoperative complications.

Conclusion

ELPS had a shorter resection time than TORS; however, both approaches showed no significant differences in safety and efficacy.

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下咽癌和声门上癌经口机器人手术与内镜喉咽手术的比较

我们的目的是比较使用达芬奇Xi机器人系统的经口机器人手术（TORS）和内镜喉部手术（ELPS）治疗下咽癌和声门上癌的术中和术后结果、技术优势和局限性。方法本研究为单中心回顾性队列研究，分析下咽癌和声门上癌患者行TORS或ELPS的术前变量、术中数据、术后并发症和功能结局。结果共纳入50例患者(21例：TORS；29: elp)。治疗时的中位年龄为73岁（范围51-87岁）。ELPS的中位切除时间（23分钟，范围6-124）明显短于TORS(42分钟，范围6-155；p & lt;0.001)。手术入路与术后并发症发生率无显著相关性。多变量分析表明，上皮下浸润（p = 0.0089）是术后并发症的独立预测因子。结论ELPS的切除时间较TORS短；然而，两种方法在安全性和有效性方面没有显着差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

DEN open

CiteScore

1.30

自引率

0.00%

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