University of Rochester expands robotic surgeries to oral, pharyngeal cancers

Source: www.healthcanal.com Author: staff Doctors at University of Rochester Medical Center are first in upstate New York to incorporate the precision and dexterity of a surgical robot to remove cancerous tumors in the mouth and throat. The first transoral robotic procedure – a partial glossectomy -- was performed Feb. 8 by surgeon Matthew Miller, M.D. This procedure expands the Medical Center’s robot-assisted surgery capabilities to include procedures for head and neck, urologic and gynecologic conditions. “Traditional approaches to these tumors have the potential to be invasive and disfiguring – oftentimes leading to an extensive recovery and rehabilitation period,” said Miller, a fellowship trained head and neck cancer surgeon. “The robot allows us to limit or even eliminate some of the side effects associated with more invasive surgeries while still effectively treating the cancer.” Strong Memorial Hospital’s daVinci Surgical Systems consist of robotic arms that replicate a surgeon’s motions in real time. The movements are by a surgeon using high-definition images provided by cameras positioned within the patient’s mouth. The surgeon is working from a console, across the room from the patient. Traditional surgery for some head and neck cancers requires large incisions – extending from the lip, across the chin and to the neck before entering the mouth or throat. Many times surgeons need to cut through the lower jaw and move aside vital cranial nerves to gain access to the back of the mouth and throat. Using the high-precision robotic system, surgeons insert the slender instruments into the mouth [...]

2010-02-18T08:53:06-07:00February, 2010|Oral Cancer News|

Robot-assisted surgery feasible for head and neck cancer

Source: www.medscape.com Author: Roxanne Nelson Robot-assisted surgery appears feasible for resection of select upper aerodigestive tract tumors, according to a study published in the April issue of Archives of Otolaryngology — Head & Neck Surgery. Researchers found that the surgical robot had several advantages over traditional endoscopic and open approaches, such as 3-dimensional visualization, tremor filtration, and greater freedom of instrument movement. "Robotic surgery in head and neck patients is still considered investigational," said senior author William Carroll, MD, associate professor of surgery and otolaryngology at the University of Alabama in Birmingham. "The procedure is under consideration by the [US Food and Drug Administration] for an approved indication." The key message from this study is that this technology could prove useful for the surgical management of select patients with head and neck cancers. "We hope to see similar or improved cure rates with fewer side effects and quicker return to function," he told Medscape Oncology. Since they were introduced a decade ago, robot-assisted surgeries have become widely accepted in the United States, especially for cardiac, gynecologic, and urologic procedures. The authors note that in 2007, about 60% of all radical prostatectomies were performed with robot assistance, and that robot-assisted cardiac and urological procedures can result in less blood loss and fewer complications than standard open approaches. In addition, the use of robots in cardiac surgery has had a favorable effect on operative time, length of stay in intensive care units, and length of overall inpatient care days, compared with open [...]

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