Eficácia da cirurgia robótica transoral (TORS) no cenário dos carcinomas de células escamosas de orofaringe (OPSCC). Uma revisão integrativa de literatura
DOI:
https://doi.org/10.34631/sporl.2049Palavras-chave:
Cirurgia robótica transoral, Carcinoma de células escamosas de orofaringe, câncer de orofaringeResumo
Introdução: A cirurgia robótica transoral (TORS) demonstra resultados oncológicos surpreendentes a partir de uma notável precisão, manobrabilidade e visão ampliada, porém nota-se uma lacuna no conhecimento dos cirurgiões quanto a sua eficácia em comparação aos demais métodos terapêuticos.Objetivo: Revisar as indicações, vantagens, desvantagens e complicações da cirurgia robótica transoral para tumores de orofaringe (TORS) em comparação aos demais métodos terapêuticos.
Métodos: Revisão integrativa de literatura realizada através das bases de dados PubMed/MEDLINE, Google Scholar e Cochrane Library dos anos de 2011 a 2022. Foram incluídos no estudo 25 artigos.
Discussão/Resultados: Evidenciou-se uma redução expressiva de risco de invasão de margens operatórias quando comparada à técnica tradicional aberta (9.5% vs. 19.1%), bem como, redução da recorrência de tumores primários (8.3% vs. 17.8%). A TORS juntamente a microcirurgia transoral à laser (TLM) estão associadas a uma taxa de rastreio primário superior à tonsilectomia lingual aberta (80% vs. 72%).
Conclusão: A TORS é uma técnica cirúrgica segura e concisa que possibilita ressecção com margens milimétricas e precisão sobre-humana. Ademais, percebe-se uma necessidade de mais estudos com bases de dados mais robustas a fim de analisar as lacunas ainda presentes quanto aos resultados dos desfechos da TORS a longo prazo.
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