Feasibility of robot-assisted modified radical neck dissection by post-auricular facelift approach

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• 作者：K. Tae¹ ; ^{kytae@hanyang.ac.kr" class="auth_mail" title="E-mail the corresponding author} ; Y.B. Ji¹ ; C.M. Song¹ ; E.S. Sung¹ ; J.H. Chung¹ ; S.H. Lee¹ ; H.J. Park²
• 关键词：head and neck cancer ; post-auricular facelift approach ; robot-assisted neck dissection ; modified radical neck dissection ; robot
• 刊名：International Journal of Oral and Maxillofacial Surgery
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：45
• 期：11
• 页码：1351-1357
• 全文大小：1866 K

文摘

The aim of this study was to evaluate the technical feasibility and safety of robot-assisted modified radical neck dissection (MRND) for head and neck cancer patients with a clinically node-positive neck. The cases of 10 head and neck cancer patients who underwent unilateral therapeutic robot-assisted MRND by post-auricular facelift approach were analyzed. The robot-assisted MRND was completed successfully in all patients without any conversion to conventional neck dissection. The mean number of lymph nodes removed was 36.7 ± 8.6. The mean duration of surgery for robot-assisted MRND was 274 ± 65 min (range 175–395 min). Transient marginal nerve palsy occurred in two patients and partial necrosis of the skin flap occurred in one patient. In terms of cosmetic satisfaction, 70% of patients were very satisfied or satisfied with postoperative cosmesis. In conclusion, robot-assisted MRND by post-auricular facelift approach is technically feasible and safe in selected patients with head and neck cancer, and yields excellent postoperative cosmesis.