Please use this identifier to cite or link to this item: http://hdl.handle.net/2445/171203
Title: Transoral robotic surgery vs open surgery in head and neck cancer: a systematic review of the literature
Author: Roselló Camps, Àlvar
Alburquerque, Rui
Roselló Llabrés, Xavier
Marí Roig, Antonio
Estrugo Devesa, Albert
López López, José, 1958-
Keywords: Càncer de cap
Càncer de coll
Robots
Ressenyes sistemàtiques (Investigació mèdica)
Head cancer
Neck cancer
Robots
Systematic reviews (Medical research)
Issue Date: 1-Sep-2020
Publisher: Medicina Oral SL
Abstract: Background: TORS has become one of the latest surgical alternatives in the treatment of oropharynx squamous cell carcinomas (OPSCC) and has become increasingly accepted by surgeons as a treatment option. Surgical robots were designed for various purposes, such as allowing remote telesurgery, and eliminating human factors like trembling. The study aimed to compare systematic review of the available literature in order to evaluate the safety and efficacy of Transoral Robotic Surgery (TORS) compared with open surgery. Material and Methods: we performed a systematic review of the available literature in order to evaluate the safety and effectiveness of TORS compared with open surgery. We compared TORS and open surgery based on 16 outcomes divided in to 3 groups: intra-operative complications, post-operative complications, and functional and oncologic outcomes. An electronic search of observational studies was carried out using the following databases: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Cochrane Oral Health Group Trials Register, and Scielo. Data analysis was carried out in accordance to Preferred Reporting Items for Systematic Reviews and Metanalysis (PRISMA) and the quality of the studies were evaluated using the Newcastle-Ottawa Scale. No language restrictions were imposed. Results: from the 4 studies identified (Newcastle-Ottawa Scale mean score 6.5), 371 patients were revised (186 patients were treated with TORS and 185 with conventional surgery). Overall, TORS, when compared with open surgery, appears to have better functional results (less hospital time, decannulation) and fewer intraoperative and post-operative complications. There is no significant difference when assessing the oncological outcomes (positive margins, survival rate) when comparing both techniques. Conclusions: TORS has an overall better functional outcome, and less intraoperative and postoperative complications with no difference in positive margins and survival rate when compared with conventional therapy.
Note: Reproducció del document publicat a: https://doi.org/10.4317/medoral.23632
It is part of: Medicina Oral, Patología Oral y Cirugia Bucal, 2020, vol. 25, num. 5, p. e599-e607
URI: http://hdl.handle.net/2445/171203
Related resource: https://doi.org/10.4317/medoral.23632
ISSN: 1698-4447
Appears in Collections:Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
Articles publicats en revistes (Ciències Clíniques)
Articles publicats en revistes (Odontostomatologia)

Files in This Item:
File Description SizeFormat 
703458.pdf1.09 MBAdobe PDFView/Open


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.