Annals of Surgical Oncology

, Volume 19, Issue 3, pp 1009–1017 | Cite as

Feasibility of Robot-Assisted Neck Dissections via a Transaxillary and Retroauricular (“TARA”) Approach in Head and Neck Cancer: Preliminary Results

  • Won Shik Kim
  • Hyoung Shin Lee
  • Sung Mi Kang
  • Hyun Jun Hong
  • Yoon Woo KohEmail author
  • Hye Yeon Lee
  • Hong-Shik Choi
  • Eun Chang Choi
Head and Neck Oncology



Recently, robot-assisted neck dissection in thyroid cancer patients with lateral neck node metastasis has been demonstrated to be feasible. We realized the necessity of technical modification in order to apply robotic system to comprehensive neck dissection for head and neck squamous cell carcinoma. This study examined the feasibility and safety of transaxillary and retroauricular (“TARA”) approach for robotic neck dissection in patients with head and neck squamous cell cancer.


Four human cadaveric dissections were followed by robotic neck dissections in seven patients with oral cavity or laryngopharyngeal cancer through TARA incision.


In all cases, vital structures including major vessels and nerves were preserved. The numbers of retrieved lymph nodes in robotic neck dissections were comparable with those in conventional neck dissections.


Robotic neck dissection via TARA approach is a feasible and useful method with excellent cosmetic results for treating nodal metastasis in selected cases of head and neck squamous cell cancer.


Neck Dissection Endoscopic Thyroidectomy Robotic Thyroidectomy Digastric Muscle Modify Radical Neck Dissection 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

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Copyright information

© Society of Surgical Oncology 2011

Authors and Affiliations

  • Won Shik Kim
    • 1
  • Hyoung Shin Lee
    • 1
  • Sung Mi Kang
    • 1
  • Hyun Jun Hong
    • 1
  • Yoon Woo Koh
    • 1
    Email author
  • Hye Yeon Lee
    • 2
  • Hong-Shik Choi
    • 1
  • Eun Chang Choi
    • 1
  1. 1.Department of OtorhinolaryngologyYonsei University College of MedicineSeoulKorea
  2. 2.Department of AnatomyYonsei University College of MedicineSeoulKorea

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