Perception of Young European Otolaryngologists toward Transoral Robotic Surgery in Head and Neck Oncology and Surgery

Author:

Lechien Jerome R.12345ORCID,Hamdan Abdul-Latif6,Fakhry Nicolas17,Vaira Luigi A.18ORCID,Iannella Giannicola19ORCID,Gengler Isabelle M.110,Michel Justin111,Radulesco Thomas111ORCID,Remacle Marc212,Hans Stephane12,Cammaroto Giovanni113,Saibene Alberto M.114ORCID,Mayo-Yanez Miguel115ORCID,Maniaci Antonino116ORCID

Affiliation:

1. Robotic Study Group of Young Otolaryngologists, International Federation of Otorhinolaryngological Societies (YO-IFOS), 13005 Paris, France

2. Department of Otolaryngology and Head and Neck Surgery, Foch Hospital, Paris Saclay University, 91190 Paris, France

3. Department of Otolaryngology and Head and Neck Surgery, Division of Broncho-Esophagology, EpiCURA Hospital, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), 7000 Mons, Belgium

4. Elsan Polyclinic of Poitiers, 86000 Poitiers, France

5. Laboratory of Anatomy and Cell Biology, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMONS), Avenue du Champ de Mars, 6, 7000 Mons, Belgium

6. Department of Otolaryngology-Head and Neck Surgery, American University of Beirut Medical Center, Beirut 1107, Lebanon

7. Department of Otolaryngology and Head and Neck Surgery, Aix-Marseille Univ, AP-HM, La Conception Hospital, 13005 Marseille, France

8. Maxillofacial Surgery Operative Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100 Sassari, Italy

9. Department of “Organi di Senso”, University “Sapienza”, 00161 Rome, Italy

10. Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati Medical Center, Cincinnati, OH 45267, USA

11. Aix Marseille University, APHM, CNRS, IUSTI, La Conception University Hospital, ENT-HNS Department, 13005 Marseille, France

12. Department of Otolaryngology, Head and Neck Surgery, Eich Hospital, 1460 Eich, Luxembourg

13. Department of Otolaryngology-Head and Neck Surgery, Forli Hospital, 47122 Forli, Italy

14. Otolaryngology Unit, Santi Paolo e Carlo Hospital, Department of Health Sciences, Università degli Studi di Milano, 26900 Milan, Italy

15. Department of Otorhinolaryngology-Head and Neck Surgery, Hospital San Rafael (HSR), 15006 A Coruña, Spain

16. Faculty of Medicine and Surgery, University of Enna Kore, 94100 Enna, Italy

Abstract

Background: To investigate the perception of young European otolaryngologists (OTOs), i.e., head and neck surgeons, toward transoral robotic surgery (TORS). Methods: Members of the Young Confederation of European Otorhinolaryngology-Head and Neck Surgery and Young Otolaryngologists of International Federation of Otorhinolaryngological Societies were surveyed about TORS perception and practice. Results: The survey was completed by 120 young OTOS (26%). The most important barriers to TORS were robot availability (73%), cost (69%), and lack of training (37%). The participants believed that the main benefits include better surgical filed view (64%), shorter hospital stay (62%), and better postoperative outcomes (61%) than the conventional approach. Head and neck surgeons considered cT1-T2 oropharyngeal cancers (94%), resection of base of tongue for sleep apnea (86%), or primary unknown cancer (76%) as the most appropriate indications. A total of 67% of TORS surgeons assessed themselves as adequately trained in TORS. Conclusions: Young European OTOs report positive perception, adoption, and knowledge of TORS. The cost-related unavailability and the lack of training or access are reported to be the most important barriers for the spread of TORS.

Publisher

MDPI AG

Reference26 articles.

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2. The First Pilot Comprehensive Evaluation of the Outcomes of Different Types of Robotic Surgeries in the Different Surgical Departments: The Penta, Tetra and Trifecta Achievements in Robotic Surgeries;Sejima;Yonago Acta Med.,2016

3. Transoral robotic surgery for supraglottic cancer. A review of oncological and functional outcomes compared to open surgery;Caporale;Acta Otorhinolaryngol. Ital.,2024

4. Awareness, Perception and Adoption of Otolaryngologist-Head Neck Surgeons toward Transoral Robotic Surgery: An International Survey;Lechien;Oral Oncol.,2023

5. Transoral robotic surgery versus nonrobotic resection of oropharyngealsquamous cell carcinoma;Chillakuru;Head Neck,2021

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