Transoral robotic vertical partial laryngectomy (hemilaryngectomy) extended to the hypopharynx

Author:

Meliante Piero Giuseppe123ORCID,Battilocchi Ludovica345ORCID,Costantino Andrea367ORCID,Lee Kyuin3,Moon Seo Jin3ORCID,Ralli Massimo12ORCID,Minni Antonio12ORCID,Capaccio Pasquale48ORCID,Pignataro Lorenzo45ORCID,de Vincentiis Marco12ORCID,Kim Se‐Heon3

Affiliation:

1. Department of Sense Organs Sapienza University of Rome Rome (RM) Italy

2. Azienda Ospedaliera Policlinico Umberto I Viale dell'Università Rome (RM) Italy

3. Department of Otorhinolaryngology, Severance Hospital Yonsei University College of Medicine Seoul Republic of Korea

4. Department of Otolaryngology and Head and Neck Surgery Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan Italy

5. Department of Clinical Sciences and Community Health University of Milan Milan Italy

6. Department of Biomedical Sciences Humanitas University Pieve Emanuele (MI) Italy

7. Otorhinolaryngology Unit IRCCS Humanitas Research Hospital Rozzano (MI) Italy

8. Department of Biomedical, Surgical and Dental Sciences University of Milan Milan Italy

Abstract

AbstractLocally advanced laryngeal cancers treatment often involves total laryngectomy, which some patients are unwilling to undergo, even if this choice reduces their survival probability. Therefore, the objective of laryngeal oncologic surgery is not only to remove the tumor, but also to preserve the organ and its functions. To overcome these concerns, several partial laryngectomy techniques have been developed. This article describes the surgical technique and a case study of a 64‐year‐old male patient with locally advanced laryngeal squamous cell carcinoma who underwent vertical partial laryngectomy extending to the subglottis and hypopharynx using transoral robotic surgery (TORS) with a da Vinci Single Port surgical robot. The video and article provide a detailed description of the surgical technique, which resulted in successful tumor removal with excellent oncological and functional outcomes.

Publisher

Wiley

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