在原发癌不明（CUP）的情况下使用经口腔机器人手术（TORS）实施同侧根治性扁桃体切除术和舌根部黏膜楔形活检：对手术技术和器械的见解

IF 0.4 4区医学 Q4 SURGERY

Indian Journal of Surgery Pub Date : 2024-09-13 DOI:10.1007/s12262-024-04154-2

Naresh Kumar Panda, Karthika Chettuvatti, Jaimanti B. Bakshi

{"title":"在原发癌不明（CUP）的情况下使用经口腔机器人手术（TORS）实施同侧根治性扁桃体切除术和舌根部黏膜楔形活检：对手术技术和器械的见解","authors":"Naresh Kumar Panda, Karthika Chettuvatti, Jaimanti B. Bakshi","doi":"10.1007/s12262-024-04154-2","DOIUrl":null,"url":null,"abstract":"<p>Transoral robotic surgery (TORS) has transformed the management of oropharyngeal tumors with its precise and minimally invasive techniques. However, its role in identifying primary sites in carcinoma of unknown primary with secondary neck nodal metastasis remains understudied. Here, we present a case series of 18 patients who underwent ipsilateral radical tonsillectomy and tongue base mucosal wedge biopsy using transoral robotic surgery (TORS) at a tertiary care institute. This study offers a concise overview of the surgical steps and instrumentation employed in the procedure, focusing on patient positioning, robotic arm placement, optical dilation, tissue dissection, hemostasis, and closure. By elucidating the technical nuances of the surgical procedure, this study aims to promote the adoption of minimally invasive approaches in head and neck surgery, thereby advancing patient care.</p>","PeriodicalId":13391,"journal":{"name":"Indian Journal of Surgery","volume":"12 1","pages":""},"PeriodicalIF":0.4000,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Execution of Ipsilateral Radical Tonsillectomy and Tongue Base Mucosal Wedge Biopsy with Trans Oral Robotic Surgery (TORS) in the Setting of Carcinoma Unknown Primary (CUP): Insights into Surgical Techniques and Instrumentation\",\"authors\":\"Naresh Kumar Panda, Karthika Chettuvatti, Jaimanti B. Bakshi\",\"doi\":\"10.1007/s12262-024-04154-2\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>Transoral robotic surgery (TORS) has transformed the management of oropharyngeal tumors with its precise and minimally invasive techniques. However, its role in identifying primary sites in carcinoma of unknown primary with secondary neck nodal metastasis remains understudied. Here, we present a case series of 18 patients who underwent ipsilateral radical tonsillectomy and tongue base mucosal wedge biopsy using transoral robotic surgery (TORS) at a tertiary care institute. This study offers a concise overview of the surgical steps and instrumentation employed in the procedure, focusing on patient positioning, robotic arm placement, optical dilation, tissue dissection, hemostasis, and closure. By elucidating the technical nuances of the surgical procedure, this study aims to promote the adoption of minimally invasive approaches in head and neck surgery, thereby advancing patient care.</p>\",\"PeriodicalId\":13391,\"journal\":{\"name\":\"Indian Journal of Surgery\",\"volume\":\"12 1\",\"pages\":\"\"},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2024-09-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian Journal of Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s12262-024-04154-2\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s12262-024-04154-2","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

摘要

经口机器人手术（TORS）以其精确的微创技术改变了口咽部肿瘤的治疗。然而，它在识别原发部位不明、继发颈部结节转移癌中的作用仍未得到充分研究。在此，我们介绍了在一家三级医疗机构使用经口机器人手术（TORS）进行同侧扁桃体根治术和舌根粘膜楔形活检的 18 例患者的病例系列。本研究简明扼要地概述了手术步骤和手术中使用的器械，重点介绍了患者定位、机器人手臂放置、光学扩张、组织剥离、止血和闭合。通过阐明手术过程中的技术细节，本研究旨在促进微创方法在头颈部手术中的应用，从而提高患者护理水平。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Execution of Ipsilateral Radical Tonsillectomy and Tongue Base Mucosal Wedge Biopsy with Trans Oral Robotic Surgery (TORS) in the Setting of Carcinoma Unknown Primary (CUP): Insights into Surgical Techniques and Instrumentation

查看原文本刊更多论文

Transoral robotic surgery (TORS) has transformed the management of oropharyngeal tumors with its precise and minimally invasive techniques. However, its role in identifying primary sites in carcinoma of unknown primary with secondary neck nodal metastasis remains understudied. Here, we present a case series of 18 patients who underwent ipsilateral radical tonsillectomy and tongue base mucosal wedge biopsy using transoral robotic surgery (TORS) at a tertiary care institute. This study offers a concise overview of the surgical steps and instrumentation employed in the procedure, focusing on patient positioning, robotic arm placement, optical dilation, tissue dissection, hemostasis, and closure. By elucidating the technical nuances of the surgical procedure, this study aims to promote the adoption of minimally invasive approaches in head and neck surgery, thereby advancing patient care.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Indian Journal of Surgery SURGERY-

CiteScore

0.60

自引率

25.00%

发文量

412

审稿时长

6-12 weeks

期刊介绍： The Indian Journal of Surgery is the official publication of the Association of Surgeons of India that considers for publication articles in all fields of surgery. Issues are published bimonthly in the months of February, April, June, August, October and December. The journal publishes Original article, Point of technique, Review article, Case report, Letter to editor, Teachers and surgeons from the past - A short (up to 500 words) bio sketch of a revered teacher or surgeon whom you hold in esteem and Images in surgery, surgical pathology, and surgical radiology. A trusted resource for peer-reviewed coverage of all types of surgery Provides a forum for surgeons in India and abroad to exchange ideas and advance the art of surgery The official publication of the Association of Surgeons of India 92% of authors who answered a survey reported that they would definitely publish or probably publish in the journal again The Indian Journal of Surgery offers peer-reviewed coverage of all types of surgery. The Journal publishes Original articles, Points of technique, Review articles, Case reports, Letters, Images and brief biographies of influential teachers and surgeons. The Journal spans General Surgery, Pediatric Surgery, Neurosurgery, Plastic Surgery, Cardiothoracic Surgery, Vascular Surgery, Rural Surgery, Orthopedic Surgery, Urology, Surgical Oncology, Radiology, Anaesthesia, Trauma Services, Minimal Access Surgery, Endocrine Surgery, GI Surgery, ENT, Colorectal Surgery, surgical practice and research. The Journal provides a forum for surgeons from India and abroad to exchange ideas, to propagate the advancement of science and the art of surgery and to promote friendship among surgeons in India and abroad. This has been a trusted platform for surgons in communicating up-to-date scientific informeation to the community.