2023/11/06 by de Azevedo Setton, Lauro Roberto, Rodolfo de Góis, Carlos, Vasconcelos D’Ávila, Daniel +8
#Head and Neck Squamous Cell Carcinoma (HNSCC) #Oropharyngeal Cancer (OPSCC) #Transoral Robotic Surgery (TORS)
paper · doi:10.34631/sporl.2049
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.