Outcomes following transoral robotic surgery: supraglottic laryngectomy

Laryngoscope. 2013 Jan;123(1):208-14. doi: 10.1002/lary.23621. Epub 2012 Sep 24.

Abstract

Objectives/hypothesis: To describe a single center outcomes following transoral robotic surgery for supraglottic laryngectomy (TORS-SL).

Study design: Prospective data collection.

Methods: Patient records receiving TORS-SL for squamous cell carcinoma (SCCA) with at least 12 months follow-up fit inclusion for this study. Two patients with previous SCCA were excluded.

Results: 18 patients (14 male, 4 female) were included in the study, having a mean follow-up time of 28.1 months (SD = 12.1). All patients had negative margins confirmed on final pathology. Nine (50%) patients received postoperative chemoradiation therapy for advanced neck disease. No (0%) patients received tracheostomy or gastrostomy tubes. There were no (0%) local recurrences, and three (16.7%) regional recurrences. Five (27.8%) patients experienced temporary postoperative complications. Overall 2-year outcomes reached 83%, 100%, and 89% for locoregional control, disease-specific survival, and overall survival respectively.

Conclusions: Initial outcomes for TORS-SL are encouraging and are comparable to previously described treatment modalities. Larger studies are encouraged.

MeSH terms

  • Carcinoma, Squamous Cell / mortality
  • Carcinoma, Squamous Cell / surgery*
  • Female
  • Follow-Up Studies
  • Head and Neck Neoplasms / mortality
  • Head and Neck Neoplasms / surgery*
  • Humans
  • Laryngeal Neoplasms / mortality
  • Laryngeal Neoplasms / pathology
  • Laryngeal Neoplasms / surgery*
  • Laryngectomy / adverse effects
  • Laryngectomy / methods*
  • Larynx / pathology
  • Larynx / surgery*
  • Male
  • Neoplasm Recurrence, Local / mortality
  • Neoplasm Recurrence, Local / surgery
  • Postoperative Complications
  • Prognosis
  • Prospective Studies
  • Robotics / methods*
  • Squamous Cell Carcinoma of Head and Neck
  • Survival Analysis
  • Treatment Outcome