Transoral robotic vertical partial laryngectomy (hemilaryngectomy) extended to the hypopharynx.

Journal: Head & neck
PMID: 38221740

Abstract

Locally advanced laryngeal cancers treatment often involves total laryngectomy, which some patients are unwilling to undergo, even if this choice reduces their survival probability. Therefore, the objective of laryngeal oncologic surgery is not only to remove the tumor, but also to preserve the organ and its functions. To overcome these concerns, several partial laryngectomy techniques have been developed. This article describes the surgical technique and a case study of a 64-year-old male patient with locally advanced laryngeal squamous cell carcinoma who underwent vertical partial laryngectomy extending to the subglottis and hypopharynx using transoral robotic surgery (TORS) with a da Vinci Single Port surgical robot. The video and article provide a detailed description of the surgical technique, which resulted in successful tumor removal with excellent oncological and functional outcomes.

Authors

  • Piero Giuseppe Meliante
    Department of Sense Organs, Sapienza University of Rome, Rome (RM), Italy.
  • Ludovica Battilocchi
    Department of Otorhinolaryngology, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
  • Andrea Costantino
    Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini, 4, 20090, Pieve Emanuele, MI, Italy; Otorhinolaryngology Unit, IRCCS Humanitas Research Hospital, Via Manzoni 56, Rozzano, MI, Italy.
  • Kyuin Lee
    Department of Otorhinolaryngology, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
  • Seo Jin Moon
    Department of Otorhinolaryngology, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
  • Massimo Ralli
    Department of Sense Organs, Sapienza University of Rome, Rome (RM), Italy.
  • Antonio Minni
    Department of Sense Organs, Sapienza University of Rome, Rome (RM), Italy.
  • Pasquale Capaccio
    Department of Otolaryngology and Head and Neck Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
  • Lorenzo Pignataro
    Department of Otolaryngology and Head and Neck Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
  • Marco de Vincentiis
    Department of Sense Organs, Sapienza University of Rome, Rome (RM), Italy.
  • Se-Heon Kim
    Department of Otorhinolaryngology, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Korea.

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