Robot-assisted level II-IV neck dissection through a modified facelift incision: initial North American experience

作者：Albergotti W Greer; Byrd J Kenneth; De Almeida John R; Kim Seungwon; Duvvuri Umamaheswar^*

来源：International Journal of Medical Robotics and Computer Assisted Surgery, 2014, 10(4): 391-396.

DOI：10.1002/rcs.1585

• head and neck surgery
• robotic neck dissection
• cancer

BackgroundCosmesis is of increasing importance to the otolaryngology patient population. This is the first report of clinical outcomes of robot-assisted neck dissection by North American groups.
MethodsThis is a retrospective case-control study. Cases included three patients who underwent isolated, ipsilateral robot-assisted neck dissection. Operative time, estimated blood loss, lymph node retrieval, total drainage, hospital stay and complications from this group were compared against the outcomes of six consecutive patients who underwent conventional neck dissection.
ResultsOperative times were longer in robot-assisted neck dissection (mean 234min) compared with the conventional neck dissection (mean 110min). There were no significant differences between the two groups in other outcomes.
ConclusionsRobot-assisted selective neck dissection of levels II-IV is feasible through a modified facelift incision. Our initial data suggest that this procedure is surgically sound. It should be applied by experienced surgeons who wish to avoid a cervical incision.

• 出版日期2014-12