Efficacy of robotic transoral surgery (TORS) in the setting of oropharyngeal squamous cell carcinomas (OPSCC). An integrative literature review

Lauro Roberto de Azevedo Setton; Carlos Rodolfo de Góis; Daniel Vasconcelos D’Ávila; Roosevelt Almeida Rosário; Nelson Almeida Davila Melo; Scheilla Kristina Mesquita Salviano; Marta Dória dos Santos; Thiago Ribeiro Oliveira; Pedro Paulo Bittencourt Silva; Yuri Mark dos Santos Ribeiro; Antônio Roberto Ferreira Setton

doi:10.34631/sporl.2049

Authors

Lauro Roberto de Azevedo Setton Universidade Tiradentes-SE (UNIT-SE), Brasil https://orcid.org/0000-0002-5516-7591
Carlos Rodolfo de Góis Universidade Federal de Sergipe (UFS), Brasil https://orcid.org/0000-0002-8521-3798
Daniel Vasconcelos D’Ávila Universidade Tiradentes-SE (UNIT-SE), Brasil https://orcid.org/0000-0002-8024-9839
Roosevelt Almeida Rosário Universidade Federal de Sergipe (UFS), Brasil https://orcid.org/0009-0003-0093-7047
Nelson Almeida Davila Melo Universidade Tiradentes-SE (UNIT-SE), Brasil https://orcid.org/0000-0003-0406-2826
Scheilla Kristina Mesquita Salviano Universidade Federal de Sergipe (UFS), Brasil https://orcid.org/0009-0007-3363-6856
Marta Dória dos Santos Universidade Federal de Sergipe (UFS), Brasil https://orcid.org/0009-0002-5025-2866
Thiago Ribeiro Oliveira Universidade Federal de Sergipe (UFS), Brasil https://orcid.org/0009-0002-6258-610X
Pedro Paulo Bittencourt Silva Universidade de Cuiabá (UNIC), Brasil https://orcid.org/0009-0009-9608-343X
Yuri Mark dos Santos Ribeiro Universidade Federal de Sergipe (UFS), Brasil https://orcid.org/0000-0002-4943-1720
Antônio Roberto Ferreira Setton Universidade Federal de Sergipe (UFS), Brasil https://orcid.org/0009-0005-9528-8178

DOI:

https://doi.org/10.34631/sporl.2049

Keywords:

Transoral Robotic Surgery (TORS), Head and Neck Squamous Cell Carcinoma (HNSCC), Oropharyngeal Cancer (OPSCC)

Abstract

Introduction: Transoral robotic surgery (TORS) demonstrates surprising oncological results from remarkable precision, maneuverability and expanded vision, but there is a gap in surgeons' knowledge regarding its effectiveness compared to other therapeutic methods.
Objective: To review the indications, advantages, disadvantages and complications of transoral robotic surgery for oropharyngeal tumors (TORS) compared to other therapeutic methods.
Methods: Integrative literature review conducted through PubMed/MEDLINE, Google Scholar and Cochrane Library databases from 2011 to 2022. 25 articles were included in the study
Discussion/Results: There was a significant reduction in the risk of margin invasion compared to the traditional open technique (9.5% vs. 19.1%), as well as a reduction in the recurrence of primary tumors (8.3% vs. 17.8%). TORS together with transoral laser microsurgery (TLM) are associated with a higher primary screening rate than open lingual tonsillectomy (80% vs. 72%).
Conclusion: TORS is a safe and concise surgical technique that allows resection with millimeter margins and superhuman precision. Furthermore, there is a need for more studies with more robust databases in order to analyze the gaps that are still present regarding the results of TORS outcomes in the long term.

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Efficacy of robotic transoral surgery (TORS) in the setting of oropharyngeal squamous cell carcinomas (OPSCC). An integrative literature review

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