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Die Entwicklung von TORS in Europa

The development of TORS in Europe

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Zusammenfassung

Transorale roboterassistierte Chirurgie („transoral robotic surgery“, TORS) mit dem daVinci®-System wird international zunehmend verwendet. Besonders in den USA ist TORS sehr verbreitet und beliebt. Im Vergleich zur Laserchirurgie, dem alternativen minimalinvasiven Chirurgieverfahren, bietet TORS einige Vorteile: Durch die Verwendung einer 3D-HD-Optik wird ein dreidimensionales, vergrößertes Bild erzeugt, die Freiheitsgrade der Instrumente sind ausgesprochen groß, und die Schnittführung kann im Gegensatz zur Laserchirurgie nicht nur tangential erfolgen. Auch in Deutschland findet TORS zunehmende Verwendung. In Europa existieren 10 von der Fa. Intuitive Surgical Inc. anerkannte TORS-Proctor-Chirurgen, die in Frankreich, Belgien, Großbritannien, Italien und Deutschland arbeiten und helfen, neue TORS-Teams auszubilden. In diesem Übersichtsartikel wird die bisher veröffentlichte TORS-Literatur dieser europäischen Experten zum Thema Entwicklung von TORS in Europa zusammengefasst.

Abstract

Transoral robotic surgery (TORS) using the da Vinci® System is being performed increasingly on an international level. Particularly in the US, TORS is a common and popular technique. It has several advantages over the alternative minimally invasive surgical technique of laser surgery: the 3D-HD lens generates a magnified, three dimensional deep-field view of the surgical site; the instrument has an exceptionally high degree of freedom and, in contrast to laser surgery, non-tangential incisions are possible. TORS is also being performed more frequently in Germany. At present, 10 TORS proctor surgeons with approval from Intuitive Surgical, Inc. are working in France, Belgium, Great Britain, Italy and Germany and helping to establish new TORS teams. This review article presents a summary of the literature that has been published by these European TORS experts to date.

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Interessenkonflikt

Der korrespondierende Autor weist für sich und seine Koautoren auf folgende Beziehung(en) hin: R.K. hat eine Beraterfunktion für die Firmen Merck und Aventis. R.K. hat keinen Interessenkonflikt bzgl. der im Beitrag genannten Firma. S.L. hat keinen Interessenkonflikt. Dr. Balazs B. Lörincz ist offizieller daVinci®-TORS-Proctor, er trainiert und unterstützt an nationalen und internationalen Kliniken Operateure und deren Teams (b.loerincz@uke.de).

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Correspondence to R. Knecht.

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Lörincz, B., Laban, S. & Knecht, R. Die Entwicklung von TORS in Europa. HNO 61, 294–299 (2013). https://doi.org/10.1007/s00106-013-2678-3

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