Evaluating the Efficacy of Transoral Robotic Surgery (TORS) Versus Radiotherapy, Chemotherapy, and Open Surgery in Treating Oropharyngeal Squamous Cell Carcinoma (OPSCC): A Systematic Review of Reviews
Introduction: Transoral robotic surgery (TORS) is a minimally invasive surgical approach for oropharyngeal squamous cell carcinoma (OPSCC) that aims to reduce morbidity and improve patients' quality of life without compromising oncological outcomes. In this study, we investigate the use of T...
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| Format: | Article |
| Language: | English |
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Riyadh Second Health Cluster Research Center, King Fahad Medical City (KFMC)
2024-12-01
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| Series: | The Journal of Medicine, Law & Public Health |
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| Online Access: | https://jmlph.net/index.php/jmlph/article/view/154 |
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| author | Abdulrhman Alsayeg Maha Naif Alshammari Abdulrahman Mesfer Alajmi Reem Faihan Alotaibi |
| author_facet | Abdulrhman Alsayeg Maha Naif Alshammari Abdulrahman Mesfer Alajmi Reem Faihan Alotaibi |
| author_sort | Abdulrhman Alsayeg |
| collection | DOAJ |
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Introduction:
Transoral robotic surgery (TORS) is a minimally invasive surgical approach for oropharyngeal squamous cell carcinoma (OPSCC) that aims to reduce morbidity and improve patients' quality of life without compromising oncological outcomes. In this study, we investigate the use of TORS in the management of OPSCC and compare it with intensity-modulated radiation therapy (IMRT), concurrent chemoradiation therapy (CCRT), and open surgery.
Method:
We conducted a systematic review of systematic reviews using PubMed, Cochrane databases, and grey literature. We also searched the reference lists of these articles. The keywords used were "trans-oral robotic surgery" OR "TORS" AND "oropharynx" OR "oropharyngeal cancer". The inclusion criteria were systematic reviews of human studies that focused on patients diagnosed with OPSCC. We excluded non-English articles without translations and articles that did not meet the inclusion criteria.
Result:
Our review included a total of 10 studies, comprising 16,917 patients. TORS was found to have better oncological outcomes than other modalities, and was associated with similar overall survival and disease-free survival rates as IMRT and CCRT. Additionally, TORS was associated with less postoperative bleeding than open surgery.
Conclusion:
Our findings suggest that TORS is a safe and effective treatment option for OPSCC. It may be a good option for patients seeking a minimally invasive approach with less postoperative bleeding.
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| format | Article |
| id | doaj-art-a8b715fbef2f46c3be43da167d74e8a4 |
| institution | Kabale University |
| issn | 2788-9815 2788-791X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Riyadh Second Health Cluster Research Center, King Fahad Medical City (KFMC) |
| record_format | Article |
| series | The Journal of Medicine, Law & Public Health |
| spelling | doaj-art-a8b715fbef2f46c3be43da167d74e8a42025-01-04T11:17:04ZengRiyadh Second Health Cluster Research Center, King Fahad Medical City (KFMC)The Journal of Medicine, Law & Public Health2788-98152788-791X2024-12-015110.52609/jmlph.v5i2.154Evaluating the Efficacy of Transoral Robotic Surgery (TORS) Versus Radiotherapy, Chemotherapy, and Open Surgery in Treating Oropharyngeal Squamous Cell Carcinoma (OPSCC): A Systematic Review of ReviewsAbdulrhman Alsayeg0Maha Naif Alshammari1Abdulrahman Mesfer Alajmi2Reem Faihan Alotaibi3AMC Hospital, Saudi ArabiaMinistry of Health, Saudi ArabiaDar Aluloom University, Saudi ArabiaAlalami Dental Clinic, Saudi Arabia Introduction: Transoral robotic surgery (TORS) is a minimally invasive surgical approach for oropharyngeal squamous cell carcinoma (OPSCC) that aims to reduce morbidity and improve patients' quality of life without compromising oncological outcomes. In this study, we investigate the use of TORS in the management of OPSCC and compare it with intensity-modulated radiation therapy (IMRT), concurrent chemoradiation therapy (CCRT), and open surgery. Method: We conducted a systematic review of systematic reviews using PubMed, Cochrane databases, and grey literature. We also searched the reference lists of these articles. The keywords used were "trans-oral robotic surgery" OR "TORS" AND "oropharynx" OR "oropharyngeal cancer". The inclusion criteria were systematic reviews of human studies that focused on patients diagnosed with OPSCC. We excluded non-English articles without translations and articles that did not meet the inclusion criteria. Result: Our review included a total of 10 studies, comprising 16,917 patients. TORS was found to have better oncological outcomes than other modalities, and was associated with similar overall survival and disease-free survival rates as IMRT and CCRT. Additionally, TORS was associated with less postoperative bleeding than open surgery. Conclusion: Our findings suggest that TORS is a safe and effective treatment option for OPSCC. It may be a good option for patients seeking a minimally invasive approach with less postoperative bleeding. https://jmlph.net/index.php/jmlph/article/view/154ChemotherapyRadiotherapyRobotic Surgical ProceduresSquamous Cell Carcinoma of Head and Neck |
| spellingShingle | Abdulrhman Alsayeg Maha Naif Alshammari Abdulrahman Mesfer Alajmi Reem Faihan Alotaibi Evaluating the Efficacy of Transoral Robotic Surgery (TORS) Versus Radiotherapy, Chemotherapy, and Open Surgery in Treating Oropharyngeal Squamous Cell Carcinoma (OPSCC): A Systematic Review of Reviews The Journal of Medicine, Law & Public Health Chemotherapy Radiotherapy Robotic Surgical Procedures Squamous Cell Carcinoma of Head and Neck |
| title | Evaluating the Efficacy of Transoral Robotic Surgery (TORS) Versus Radiotherapy, Chemotherapy, and Open Surgery in Treating Oropharyngeal Squamous Cell Carcinoma (OPSCC): A Systematic Review of Reviews |
| title_full | Evaluating the Efficacy of Transoral Robotic Surgery (TORS) Versus Radiotherapy, Chemotherapy, and Open Surgery in Treating Oropharyngeal Squamous Cell Carcinoma (OPSCC): A Systematic Review of Reviews |
| title_fullStr | Evaluating the Efficacy of Transoral Robotic Surgery (TORS) Versus Radiotherapy, Chemotherapy, and Open Surgery in Treating Oropharyngeal Squamous Cell Carcinoma (OPSCC): A Systematic Review of Reviews |
| title_full_unstemmed | Evaluating the Efficacy of Transoral Robotic Surgery (TORS) Versus Radiotherapy, Chemotherapy, and Open Surgery in Treating Oropharyngeal Squamous Cell Carcinoma (OPSCC): A Systematic Review of Reviews |
| title_short | Evaluating the Efficacy of Transoral Robotic Surgery (TORS) Versus Radiotherapy, Chemotherapy, and Open Surgery in Treating Oropharyngeal Squamous Cell Carcinoma (OPSCC): A Systematic Review of Reviews |
| title_sort | evaluating the efficacy of transoral robotic surgery tors versus radiotherapy chemotherapy and open surgery in treating oropharyngeal squamous cell carcinoma opscc a systematic review of reviews |
| topic | Chemotherapy Radiotherapy Robotic Surgical Procedures Squamous Cell Carcinoma of Head and Neck |
| url | https://jmlph.net/index.php/jmlph/article/view/154 |
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