Transoral Robotic Surgery (TORS), in the management of head and neck tumors

Revista Colombiana de Cancerología

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Title Transoral Robotic Surgery (TORS), in the management of head and neck tumors
Cirugía Robótica Transoral (TORS), en el manejo de lesiones neoplásicas de cabeza y cuello
 
Creator Cadena, Enrique
Guerra, Ricardo
Pérez Mitchell, Carlos
 
Subject Squamous cell carcinoma
Head and neck tumors
Robotics
Remote operations
Carcinoma de células escamosas
Neoplasias de cabeza y cuello
Robótica
Operaciones remotas
 
Description Head and neck cancer is a complicated disease, with an increasing incidence in the last decade, and is associated with the human papilloma virus infection. The basic treatment is surgery, which should be done with interventions through the neck, which are extensive and crippling, supplemented by chemotherapy and radiotherapy, leaving hard-to-manage functional sequels. The use of the Da Vinci® robot was approved in 2009 for the resection of tumors of the oropharynx and supraglotis, using transoral robotic surgery. The benefits of this technique, leading to an early recovery of the patient, arise from the excellent three-dimensional views and exceptional movements of the automated instrument (EndoWrist®). This has led to the recommendations for its use being continuously redefined. This article summarizes the indications, advantages, disadvantages, postoperative care, management, rehabilitation, and adjuvant therapy of this new treatment.
El cáncer de cabeza y cuello es una enfermedad muy complicada cuya incidencia ha venido incrementando en la última década y está relacionada con la infección del virus del papiloma humano. La base del tratamiento es la cirugía, que debe hacerse con intervenciones extensas y mutilantes a través del cuello, son acompañadas de quimioterapia y radioterapia, dejando secuelas funcionales difíciles de manejar. Desde 2009 se aprobó el uso del robot Da Vinci® para resecar tumores de la orofaringe y supraglotis, con la cirugía robótica transoral. Las bondades de esta técnica, que inciden en la pronta recuperación del paciente, y que están derivadas de la excelente visión tridimensional y la versatilidad de movimientos del instrumental articulado (EndoWrist®), han hecho que las recomendaciones de su uso estén redefiniéndose continuamente. Este artículo resume las ventajas, las desventajas, las indicaciones de manejo actual, el cuidado posoperatorio, la rehabilitación y la terapia adyuvante de este novedoso tratamiento.
 
Publisher Instituto Nacional de Cancerología
 
Date 2014-09-01
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
 
Format application/pdf
 
Identifier https://www.revistacancercol.org/index.php/cancer/article/view/333
 
Source Revista Colombiana de Cancerología; Vol 18 No 3 (2014); 128-136
Revista Colombiana de Cancerología; Vol. 18 Núm. 3 (2014); 128-136
Revista Colombiana de Cancerología; v. 18 n. 3 (2014); 128-136
2346-0199
0123-9015
 
Language spa
 
Relation https://www.revistacancercol.org/index.php/cancer/article/view/333/163
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