Abstract
Transoral robotic surgery (TORS) refers to surgery that is performed on the upper aerodigestive tract through the mouth, assisted by robotic instruments. The arms of the robot can reach previously inaccessible areas of the pharynx and larynx through the mouth, allowing for a minimally invasive approach through the natural oral cavity orifice. Prior to the advent of robotic technology, open techniques requiring mandible splitting often were necessary to surgically access cancers in these anatomic areas, and radiation with or without chemotherapy was often relied upon to treat these tumors, in order to avoid this morbid type of approach. Therefore, TORS has enabled the head and neck surgeon to surgically remove tumors that not only were difficult to access but also were often treated nonsurgically.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Siegel RL, Miller KD, Jemal A. Cancer statistics, 2016. CA Cancer J Clin. 2016;66:7–30.
Chaturvedi AK, Engels EA, Anderson WF, Gillison ML. Incidence trends for human papillomavirus-related and -unrelated oral squamous cell carcinomas in the United States. J Clin Oncol. 2008;26:612–9.
Chaturvedi AK, Engels EA, Pfeiffer RM, Hernandez BY, Xiao W, Kim E, et al. Human papillomavirus and rising oropharyngeal cancer incidence in the United States. J Clin Oncol. 2011;29:4294–301.
Gillison ML, Koch WM, Capone RB, Spafford M, Westra WH, Wu L, et al. Evidence for a causal association between human papillomavirus and a subset of head and neck cancers. J Natl Cancer Inst. 2000;92:709–20.
Gillison ML, D'Souza G, Westra W, Sugar E, Xiao W, Begum S, Viscidi R. Distinct risk factor profiles for human papillomavirus type 16-positive and human papillomavirus type 16-negative head and neck cancers. J Natl Cancer Inst. 2008;100:407–20.
Dayyani F, Etzel CJ, Liu M, Ho CH, Lippman SM, Tsao AS. Meta-analysis of the impact of human papillomavirus (HPV) on cancer risk and overall survival in head and neck squamous cell carcinomas (HNSCC). Head Neck Oncol. 2010;2:15.
Fakhry C, Westra WH, Li S, Cmelak A, Ridge JA, Pinto H, et al. Improved survival of patients with human papillomavirus-positive head and neck squamous cell carcinoma in a prospective clinical trial. J Natl Cancer Inst. 2008;100:261–9.
Weinstein GS, Quon H, Newman HJ, Chalian JA, Malloy K, Lin A, et al. Transoral robotic surgery alone for oropharyngeal cancer: an analysis of local control. Arch Otolaryngol Head Neck Surg. 2012;138:628–34.
Weinstein GS, O'Malley BW Jr, Cohen MA, Quon H. Transoral robotic surgery for advanced oropharyngeal carcinoma. Arch Otolaryngol Head Neck Surg. 2010;136:1079–85.
Cohen MA, Weinstein GS, O'Malley BW Jr, Feldman M, Quon H. Transoral robotic surgery and human papillomavirus status: oncologic results. Head Neck. 2011;33:573–80.
de Almeida JR, Li R, Magnuson JS, Smith RV, Moore E, Lawson G, et al. Oncologic outcomes after transoral robotic surgery: a multi-institutional study. JAMA Otolaryngol Head Neck Surg. 2015;141:1043–51.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Kang, R., Gernon, T., Maghami, E. (2018). Transoral Robotic Surgery. In: Fong, Y., Woo, Y., Hyung, W., Lau, C., Strong, V. (eds) The SAGES Atlas of Robotic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-91045-1_38
Download citation
DOI: https://doi.org/10.1007/978-3-319-91045-1_38
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-91043-7
Online ISBN: 978-3-319-91045-1
eBook Packages: MedicineMedicine (R0)