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European Archives of Oto-Rhino-Laryngology

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22-06-2022 | Short Communication

Transoral robotic cordectomy for glottic carcinoma: a rapid review

Authors: Jérôme R. Lechien, Robin Baudouin, Marta P. Circiu, Carlos M. Chiesa-Estomba, Lise Crevier-Buchman, Stephane Hans

Published in: European Archives of Oto-Rhino-Laryngology | Issue 11/2022

Abstract

Objective

The objective of this study was to investigate feasibility, surgical, oncological, and functional outcomes of transoral robotic cordectomy (TORS-Co) and whether TORS-Co reported comparable outcomes of transoral laser microsurgery (TLM).

Methods

PubMed, Scopus, and Cochrane Library were searched by three laryngologists for studies investigating feasibility, surgical, oncological, and functional outcomes of patients benefiting from TORS-Co. The following outcomes were investigated according to the PRISMA statements: age; cT stage; types of cordectomy; surgical settings; complications; and functional and feasibility features.

Results

Nine studies published between 2009 and 2021 met our inclusion criteria, accounting for 114 patients. There was no controlled study. TORS-Co was performed in cT1 or cT2 glottic cancer through types II, III, IV, V, or VI cordectomies. The exposure was inadequate in 4% of cases, leading to conversion in transoral laser cordectomy. Margins were positive in 4.5% and local recurrence occurred in 10.7% (N = 8/75). Tracheotomy and feeding tube requirement varied across studies, depending on the types of TORS-Co. The mean duration of robot installation/vocal cord exposure and operative times ranged from 20 to 42 min and 10 to 40 min, respectively. The mean duration of hospital stay ranged from 2 to 7 days. Complications included dyspnea, bleeding, granuloma, synechia, and tongue hematoma and dysesthesia.

Conclusion

The current robotic systems do not appear adequate for TORS-Co. TORS-Co was associated with higher rates of complications and tracheotomy than TLM.

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Title: Transoral robotic cordectomy for glottic carcinoma: a rapid review
Authors: Jérôme R. Lechien
Robin Baudouin
Marta P. Circiu
Carlos M. Chiesa-Estomba
Lise Crevier-Buchman
Stephane Hans
Publication date: 22-06-2022
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 11/2022
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-022-07514-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Transoral robotic cordectomy for glottic carcinoma: a rapid review

Abstract

Objective

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusion

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