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Transoral robotic surgery for the base of tongue squamous cell carcinoma: a preliminary comparison between da Vinci Xi and Si

Journal of Robotic Surgery volume 12, pages 417–423 (2018)Cite this article

Abstract

Considering the emerging advantages related to da Vinci Xi robotic platform, the aim of this study is to compare for the first time the operative outcomes of this tool to the previous da Vinci Si during transoral robotic surgery (TORS), both performed for squamous cell carcinomas (SCC) of the base of tongue (BOT). Intra- and peri-operative outcomes of eight patients with early stage (T1–T2) of the BOT carcinoma and undergoing TORS by means of the da Vinci Xi robotic platform (Xi-TORS) are compared with the da Vinci Si group ones (Si-TORS). With respect to Si-TORS group, Xi-TORS group demonstrated a significantly shorter overall operative time, console time, and intraoperative blood loss, as well as peri-operative pain intensity and length of mean hospital stays and nasogastric tube positioning. Considering recent advantages offered by surgical robotic techniques, the da Vinci Xi Surgical System preliminary outcomes could suggest its possible future routine implementation in BOT squamous cell carcinoma procedures.

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Affiliations

  1. Otolaryngology Unit, University of Rome Tor Vergata, Rome, Italy

    Marco Alessandrini, Isabella Pavone & Alessandro Micarelli

  2. Otolaryngology and Head and Neck Surgery Unit, “Santo Spirito” Hospital of Pescara, Renato Paolini 47, Pescara, Italy

    Isabella Pavone & Claudio Caporale

Authors
  1. Marco Alessandrini
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  2. Isabella Pavone
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  3. Alessandro Micarelli
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  4. Claudio Caporale
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Corresponding author

Correspondence to Isabella Pavone.

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Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all patients included in the study.

Conflict of interest

Authors Marco Alessandrini, Isabella Pavone, Alessandro Micarelli and Claudio Caporale declare that they have no conflict of interest.

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Alessandrini, M., Pavone, I., Micarelli, A. et al. Transoral robotic surgery for the base of tongue squamous cell carcinoma: a preliminary comparison between da Vinci Xi and Si. J Robotic Surg 12, 417–423 (2018). https://doi.org/10.1007/s11701-017-0750-9

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  • DOI: https://doi.org/10.1007/s11701-017-0750-9

Keywords

  • da Vinci
  • da Vinci Xi
  • Transoral robotic surgery
  • TORS
  • Base of tongue cancer
  • Base of tongue surgery