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Feasibility and safety of the da Vinci Xi surgical robot for transoral robotic surgery

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Abstract

The collective experience supporting the safety and efficacy of transoral robotic surgery continues to grow. The surgical robot da Vinci Xi has been used successfully off-label for head and neck surgery, including transoral robotic surgery. We evaluated operative outcomes and efficacy of the da Vinci Xi surgical robot for transoral surgery and compared our experience with the da Vinci Si and published da Vinci Xi experiences in transoral surgery. Nineteen total cases were retrospectively reviewed, six with the Si and thirteen with the Xi. Our experience with the da Vinci Xi showed similar peri- and postoperative outcomes to our Si experience the available da Vinci Xi literature. We advocate for careful patient selection while also considering the surgical team’s experience with TORS. Transoral robotic surgery with the da Vinci Xi has specific advantages, and support is accumulating for its use in TORS. However, this indication remains off-label, and we do not anticipate the manufacturer will seek approval for this indication given the ongoing development and regulatory approvals of da Vinci Single Port for similar indications.

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Authors and Affiliations

  1. Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ, USA

    Birk Olson & Ellen Cahill

  2. Division of Head and Neck Oncologic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA

    Matin Imanguli

Authors
  1. Birk Olson
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  2. Ellen Cahill
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  3. Matin Imanguli
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All listed authors participated in the design, conduct, analysis, and manuscript drafting for this study. All authors read and approved the final manuscript.

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Correspondence to Matin Imanguli.

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Olson, B., Cahill, E. & Imanguli, M. Feasibility and safety of the da Vinci Xi surgical robot for transoral robotic surgery. J Robotic Surg 17, 571–576 (2023). https://doi.org/10.1007/s11701-022-01449-y

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