Efficacy of robotic transoral surgery (TORS) in the setting of oropharyngeal squamous cell carcinomas (OPSCC). An integrative literature review
DOI:
https://doi.org/10.34631/sporl.2049Keywords:
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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