A novel technique in transoral robotic surgery: A case report of rotating and switching technique

Abstract

AbstractBackgroundTransoral robotic surgery (TORS) for tongue base lesions located above the operative field is predominantly an upward procedure, which makes surgery difficult.MethodsTo illustrate our technique for this procedure, we report the case of an 82‐year‐old male with a p16‐negative oropharyngeal carcinoma of the tongue base who underwent TORS. The field of view was turned upside down, and the operation switched the typical left‐ and right‐arm functions. The daVinci Xi was docked, the 0° endoscope was rotated 180°, and the first arm was switched to the right hand and the third arm to the left hand.ResultsAlthough the lesion extended from the tongue base to the soft palate and mobile tongue, the planned resection line was followed.ConclusionsThis technique improves operability by allowing downward manipulation and preventing the left and right arms from crossing. Further validation of the technique's effectiveness and safety is needed.