经口机器人手术（TORS）与开放手术治疗复发性口咽鳞状细胞癌：系统回顾和荟萃分析。

IF 2.2 3区医学 Q1 OTORHINOLARYNGOLOGY

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2025-09-10 DOI:10.1002/hed.70042

Francisco Laxague, Drosa Zabihi-Pour, Claudia C Correa Roa, Josefina Principe, Adrian Mendez, Juan Manuel Fernandez Vila, Anthony C Nichols

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引用次数: 0

摘要

背景：挽救性手术（SS）是既往明确放疗后复发口咽鳞状细胞癌（OPSCC）的最佳治疗选择之一。方法：对开放式（OSS）和经口机器人手术（TORS）治疗复发性OPSCC的文章进行Medline文献检索。分析和比较手术、功能和肿瘤预后。结果：共纳入18项研究，其中567例（66.2%）接受OSS， 290例（33.8%）接受tor。结论：接受TORS的患者肿瘤更小，晚期淋巴结疾病更少。此外，他们术后对饲管和气管造口术的依赖较少，2年总生存率优于OSS患者。

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Transoral Robotic Surgery (TORS) Versus Open Surgery for Recurrent Oropharyngeal Squamous Cell Carcinoma: A Systematic Review and Meta-Analysis.

Background: Salvage surgery (SS) is one of the best treatment options for recurrent oropharyngeal squamous cell carcinoma (OPSCC) after prior definitive radiation.

Methods: A Medline literature search of articles on open (OSS) and transoral robotic surgery (TORS) for the treatment of recurrent OPSCC was performed. Surgical, functional, and oncological outcomes were analyzed and compared.

Results: A total of 18 studies including 567 (66.2%) patients undergoing OSS and 290 (33.8%) undergoing TORS were included. Patients undergoing TORS vs. OSS had early T- and N-classification tumors, p < 0.01, respectively. OSS patients had higher rates of feeding tube and tracheostomy dependence compared with TORS (p < 0.01). The mean 2-year overall survival in patients undergoing TORS was 68.5% versus 45.9% in the OSS group, p = 0.03.

Conclusion: Patients undergoing TORS had smaller tumors and less advanced nodal disease. Furthermore, they developed less postoperative feeding tube and tracheostomy dependency, and had better 2-year overall survival than patients undergoing OSS.

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.