Applications of evolving robotic technology for head and neck surgery

Arun Sharma, William Greer Albergotti, Umamaheswar Duvvuri

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Objective: Assess the use and potential benefits of a new robotic system for transoral radical tonsillectomy, transoral supraglottic laryngectomy, and retroauricular thyroidectomy in a cadaver dissection. Methods: Three previously described robotic procedures (transoral radical tonsillectomy, transoral supraglottic laryngectomy, and retroauricular thyroidectomy) were performed in a cadaver using the da Vinci Xi Surgical System. Surgical exposure and access, operative time, and number of collisions were examined objectively. Results: The new robotic system was used to perform transoral radical tonsillectomy with dissection and preservation of glossopharyngeal nerve branches, transoral supraglottic laryngectomy, and retroauricular thyroidectomy. There was excellent exposure without any difficulties in access. Robotic operative times (excluding set-up and docking times) for the 3 procedures in the cadaver were 12.7, 14.3, and 21.2 minutes (excluding retroauricular incision and subplatysmal elevation), respectively. No robotic arm collisions were noted during these 3 procedures. The retroauricular thyroidectomy was performed using 4 robotic ports, each with 8 mm instruments. Conclusions: The use of updated and evolving robotic technology improves the ease of previously described robotic head and neck procedures and may allow surgeons to perform increasingly complex surgeries.

Original languageEnglish (US)
Pages (from-to)207-212
Number of pages6
JournalAnnals of Otology, Rhinology and Laryngology
Volume125
Issue number3
DOIs
StatePublished - Mar 1 2016
Externally publishedYes

Keywords

  • Head and neck
  • Head and neck cancer
  • Robotic surgery
  • Thyroid
  • Transoral robotic surgery

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Medicine(all)

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