Efficacy of robotic transoral surgery (TORS) in the setting of oropharyngeal squamous cell carcinomas (OPSCC). An integrative literature review
Introduction: Transoral robotic surgery (TORS) demonstrates surprising oncological results from remarkable precision, maneuverability and expanded vision, but there is a gap in surgeons' knowledge regarding its effectiveness compared to other therapeutic methods. Objective: To review the ind...
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| Format: | Article |
| Language: | English |
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Portuguese Society of Otolaryngology and Head and Neck Surgery
2023-11-01
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| Series: | Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
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| Online Access: | https://journalsporl.com/index.php/sporl/article/view/2049 |
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| author | Lauro Roberto de Azevedo Setton Carlos Rodolfo de Góis Daniel Vasconcelos D’Ávila Roosevelt Almeida Rosário Nelson Almeida Davila Melo Scheilla Kristina Mesquita Salviano Marta Dória dos Santos Thiago Ribeiro Oliveira Pedro Paulo Bittencourt Silva Yuri Mark dos Santos Ribeiro Antônio Roberto Ferreira Setton |
| author_facet | Lauro Roberto de Azevedo Setton Carlos Rodolfo de Góis Daniel Vasconcelos D’Ávila Roosevelt Almeida Rosário Nelson Almeida Davila Melo Scheilla Kristina Mesquita Salviano Marta Dória dos Santos Thiago Ribeiro Oliveira Pedro Paulo Bittencourt Silva Yuri Mark dos Santos Ribeiro Antônio Roberto Ferreira Setton |
| author_sort | Lauro Roberto de Azevedo Setton |
| collection | DOAJ |
| description |
Introduction: Transoral robotic surgery (TORS) demonstrates surprising oncological results from remarkable precision, maneuverability and expanded vision, but there is a gap in surgeons' knowledge regarding its effectiveness compared to other therapeutic methods.
Objective: To review the indications, advantages, disadvantages and complications of transoral robotic surgery for oropharyngeal tumors (TORS) compared to other therapeutic methods.
Methods: Integrative literature review conducted through PubMed/MEDLINE, Google Scholar and Cochrane Library databases from 2011 to 2022. 25 articles were included in the study
Discussion/Results: There was a significant reduction in the risk of margin invasion compared to the traditional open technique (9.5% vs. 19.1%), as well as a reduction in the recurrence of primary tumors (8.3% vs. 17.8%). TORS together with transoral laser microsurgery (TLM) are associated with a higher primary screening rate than open lingual tonsillectomy (80% vs. 72%).
Conclusion: TORS is a safe and concise surgical technique that allows resection with millimeter margins and superhuman precision. Furthermore, there is a need for more studies with more robust databases in order to analyze the gaps that are still present regarding the results of TORS outcomes in the long term.
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| format | Article |
| id | doaj-art-abe6e9ecc5eb46b58e4e69df4cc605dc |
| institution | Kabale University |
| issn | 2184-6499 |
| language | English |
| publishDate | 2023-11-01 |
| publisher | Portuguese Society of Otolaryngology and Head and Neck Surgery |
| record_format | Article |
| series | Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
| spelling | doaj-art-abe6e9ecc5eb46b58e4e69df4cc605dc2025-08-20T03:30:09ZengPortuguese Society of Otolaryngology and Head and Neck SurgeryRevista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2184-64992023-11-0161310.34631/sporl.2049Efficacy of robotic transoral surgery (TORS) in the setting of oropharyngeal squamous cell carcinomas (OPSCC). An integrative literature reviewLauro Roberto de Azevedo Setton0Carlos Rodolfo de Góis1Daniel Vasconcelos D’Ávila2Roosevelt Almeida Rosário3Nelson Almeida Davila Melo4Scheilla Kristina Mesquita Salviano5Marta Dória dos Santos6Thiago Ribeiro Oliveira7Pedro Paulo Bittencourt Silva8Yuri Mark dos Santos Ribeiro9Antônio Roberto Ferreira Setton10Universidade Tiradentes-SE (UNIT-SE), BrasilUniversidade Federal de Sergipe (UFS), BrasilUniversidade Tiradentes-SE (UNIT-SE), BrasilUniversidade Federal de Sergipe (UFS), BrasilUniversidade Tiradentes-SE (UNIT-SE), BrasilUniversidade Federal de Sergipe (UFS), BrasilUniversidade Federal de Sergipe (UFS), BrasilUniversidade Federal de Sergipe (UFS), BrasilUniversidade de Cuiabá (UNIC), BrasilUniversidade Federal de Sergipe (UFS), BrasilUniversidade Federal de Sergipe (UFS), Brasil Introduction: Transoral robotic surgery (TORS) demonstrates surprising oncological results from remarkable precision, maneuverability and expanded vision, but there is a gap in surgeons' knowledge regarding its effectiveness compared to other therapeutic methods. Objective: To review the indications, advantages, disadvantages and complications of transoral robotic surgery for oropharyngeal tumors (TORS) compared to other therapeutic methods. Methods: Integrative literature review conducted through PubMed/MEDLINE, Google Scholar and Cochrane Library databases from 2011 to 2022. 25 articles were included in the study Discussion/Results: There was a significant reduction in the risk of margin invasion compared to the traditional open technique (9.5% vs. 19.1%), as well as a reduction in the recurrence of primary tumors (8.3% vs. 17.8%). TORS together with transoral laser microsurgery (TLM) are associated with a higher primary screening rate than open lingual tonsillectomy (80% vs. 72%). Conclusion: TORS is a safe and concise surgical technique that allows resection with millimeter margins and superhuman precision. Furthermore, there is a need for more studies with more robust databases in order to analyze the gaps that are still present regarding the results of TORS outcomes in the long term. https://journalsporl.com/index.php/sporl/article/view/2049Transoral Robotic Surgery (TORS)Head and Neck Squamous Cell Carcinoma (HNSCC)Oropharyngeal Cancer (OPSCC) |
| spellingShingle | Lauro Roberto de Azevedo Setton Carlos Rodolfo de Góis Daniel Vasconcelos D’Ávila Roosevelt Almeida Rosário Nelson Almeida Davila Melo Scheilla Kristina Mesquita Salviano Marta Dória dos Santos Thiago Ribeiro Oliveira Pedro Paulo Bittencourt Silva Yuri Mark dos Santos Ribeiro Antônio Roberto Ferreira Setton Efficacy of robotic transoral surgery (TORS) in the setting of oropharyngeal squamous cell carcinomas (OPSCC). An integrative literature review Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço Transoral Robotic Surgery (TORS) Head and Neck Squamous Cell Carcinoma (HNSCC) Oropharyngeal Cancer (OPSCC) |
| title | Efficacy of robotic transoral surgery (TORS) in the setting of oropharyngeal squamous cell carcinomas (OPSCC). An integrative literature review |
| title_full | Efficacy of robotic transoral surgery (TORS) in the setting of oropharyngeal squamous cell carcinomas (OPSCC). An integrative literature review |
| title_fullStr | Efficacy of robotic transoral surgery (TORS) in the setting of oropharyngeal squamous cell carcinomas (OPSCC). An integrative literature review |
| title_full_unstemmed | Efficacy of robotic transoral surgery (TORS) in the setting of oropharyngeal squamous cell carcinomas (OPSCC). An integrative literature review |
| title_short | Efficacy of robotic transoral surgery (TORS) in the setting of oropharyngeal squamous cell carcinomas (OPSCC). An integrative literature review |
| title_sort | efficacy of robotic transoral surgery tors in the setting of oropharyngeal squamous cell carcinomas opscc an integrative literature review |
| topic | Transoral Robotic Surgery (TORS) Head and Neck Squamous Cell Carcinoma (HNSCC) Oropharyngeal Cancer (OPSCC) |
| url | https://journalsporl.com/index.php/sporl/article/view/2049 |
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