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Transoral robotic surgery using a carbon dioxide flexible laser for tumors of the upper aerodigestive tract.

Publication ,  Journal Article
Desai, SC; Sung, C-K; Jang, DW; Genden, EM
Published in: Laryngoscope
December 2008

OBJECTIVE: To determine the safety, feasibility, and efficacy of coupling transoral robotic technology with the flexible carbon dioxide (CO2) laser for various tumors of the oropharynx and supraglottic larynx. STUDY DESIGN: Prospective, pilot trial. METHODS: Eight patients were enrolled in an IRB-approved prospective trial for transoral robotic surgery with the aid of the flexible CO2 laser. RESULTS: Seven male patients with early carcinoma of the oropharynx or larynx successfully underwent tumor extirpation with the transoral robot and the flexible CO2 laser. We were unable to gain access to the supraglottic larynx in one female patient. The final pathology revealed seven patients with squamous cell carcinoma and one patient with adenoid cystic carcinoma. The flexible CO2 laser provided fine incisions with excellent hemostasis and minimal peripheral tissue injury. Additionally, the laser provided an excellent tool for raising pharyngeal flaps for reconstruction of the oropharynx. CONCLUSION: The flexible CO2 laser offers a unique advantage of precise incisions and may provide a valuable tool for both tumor extirpation and the creation of flaps for transoral robotic reconstruction.

Duke Scholars

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Published In

Laryngoscope

DOI

EISSN

1531-4995

Publication Date

December 2008

Volume

118

Issue

12

Start / End Page

2187 / 2189

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Tissue and Organ Harvesting
  • Surgical Flaps
  • Surgery, Computer-Assisted
  • Robotics
  • Prospective Studies
  • Pilot Projects
  • Otorhinolaryngology
  • Oropharyngeal Neoplasms
  • Neoplasm Staging
 

Citation

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ICMJE
MLA
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Desai, S. C., Sung, C.-K., Jang, D. W., & Genden, E. M. (2008). Transoral robotic surgery using a carbon dioxide flexible laser for tumors of the upper aerodigestive tract. Laryngoscope, 118(12), 2187–2189. https://doi.org/10.1097/MLG.0b013e31818379e4
Desai, Shaun C., Chih-Kwang Sung, David W. Jang, and Eric M. Genden. “Transoral robotic surgery using a carbon dioxide flexible laser for tumors of the upper aerodigestive tract.Laryngoscope 118, no. 12 (December 2008): 2187–89. https://doi.org/10.1097/MLG.0b013e31818379e4.
Desai SC, Sung C-K, Jang DW, Genden EM. Transoral robotic surgery using a carbon dioxide flexible laser for tumors of the upper aerodigestive tract. Laryngoscope. 2008 Dec;118(12):2187–9.
Desai, Shaun C., et al. “Transoral robotic surgery using a carbon dioxide flexible laser for tumors of the upper aerodigestive tract.Laryngoscope, vol. 118, no. 12, Dec. 2008, pp. 2187–89. Pubmed, doi:10.1097/MLG.0b013e31818379e4.
Desai SC, Sung C-K, Jang DW, Genden EM. Transoral robotic surgery using a carbon dioxide flexible laser for tumors of the upper aerodigestive tract. Laryngoscope. 2008 Dec;118(12):2187–2189.
Journal cover image

Published In

Laryngoscope

DOI

EISSN

1531-4995

Publication Date

December 2008

Volume

118

Issue

12

Start / End Page

2187 / 2189

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Tissue and Organ Harvesting
  • Surgical Flaps
  • Surgery, Computer-Assisted
  • Robotics
  • Prospective Studies
  • Pilot Projects
  • Otorhinolaryngology
  • Oropharyngeal Neoplasms
  • Neoplasm Staging