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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2022; 26(01): e178-e182
DOI: 10.1055/s-0040-1718957
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Robotic-Assisted Neck Dissection: Our Experience

Salvatore Poma  ‡   *
1   U.O.C. Otolaryngology, Ospedali Riuniti Villa Sofia-Cervello, Palermo, Italy
,
Domenico Michele Modica  ‡   *
1   U.O.C. Otolaryngology, Ospedali Riuniti Villa Sofia-Cervello, Palermo, Italy
2   U.O.C. Department of Biomedicine, Neuroscience and Advanced Diagnostics, Institute of Human Anatomy and Histology, University of Palermo, Palermo, Italy
,
Alessandro Pitruzzella 
2   U.O.C. Department of Biomedicine, Neuroscience and Advanced Diagnostics, Institute of Human Anatomy and Histology, University of Palermo, Palermo, Italy
,
Alberto Fucarino 
2   U.O.C. Department of Biomedicine, Neuroscience and Advanced Diagnostics, Institute of Human Anatomy and Histology, University of Palermo, Palermo, Italy
,
Gianfranco Mattina 
1   U.O.C. Otolaryngology, Ospedali Riuniti Villa Sofia-Cervello, Palermo, Italy
2   U.O.C. Department of Biomedicine, Neuroscience and Advanced Diagnostics, Institute of Human Anatomy and Histology, University of Palermo, Palermo, Italy
,
Salvatore Fasola 
3   Institute of Biomedicine and Molecular Immunology, “A. Monroy” (IBIM), CNR, Palermo, Italy
,
Daniele Pirrello 
4   University of Palermo, Bionec, Palermo, Italy
,
Giuseppe Mario Galfano 
1   U.O.C. Otolaryngology, Ospedali Riuniti Villa Sofia-Cervello, Palermo, Italy
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Abstract

Introduction Robotic neck dissection surgery allows less invasiveness to significantly improve the aesthetic impact even though it does not compromise the principles of radical cancer procedure.

Objective The aim of our work is to describe our personal experience with robotic neck dissection surgery.

Methods A retrospective study was conducted by analyzing 10 patients subjected to a robotic neck dissection surgery. In the period from August 2012 to December 2018, these patients have been treated exclusively with robotic lateral-cervical dissection. Five of them were subjected to robotic-assisted transaxillary neck dissection (RATAND) and the other 5 treated with robotic-assisted retroauricular neck dissection (RARAND), then the surgical results have been compared with 5 similar dissections performed by open neck dissection (OND).

Results The average surgical time of RATAND was estimated in 166 minutes, the average surgical time of RARAND was estimated in 153 minutes and the average surgical time of OND was estimated in 48 minutes. Both robotic techniques are valid from the oncological and aesthetic point of view, but in terms of surgical time, they are much longer than the open technique.

Conclusions In terms of the post-operative decree, in our opinion, the retroauricular technique is more rapid for the purposes of recovery.

Keywords

robotic - dissection - surgery - neck

* These authors contributed equally to this work.




Publication History

Received: 03 October 2019

Accepted: 23 August 2020

Article published online:
29 March 2021

© 2021. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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