Establishing and integrating a transoral robotic surgery programme into routine oncological management of head and neck cancer – a UK perspective

Abstract

Abstract Background: The introduction of transoral robotic surgery into routine management of patients is complex. It involves organisational, logistical and clinical challenges. This study presents our experience of implementing such a programme and provides a blueprint for other centres willing to establish similar services.

Methods: Implementation of the robotic surgery programme focused on several key domains: training, logistics, governance, multidisciplinary team awareness, pre-operative imaging, anaesthesia, post-operative care, finance, patient selection and consent. Programme outcomes were evaluated by assessing operative outcomes of the first 117 procedures performed.

Results: The success of the transoral robotic surgery programme has been possible because of the scrupulous planning phase before the first procedure, and the time invested on team awareness and training.

Conclusion: Implementation of a new transoral robotic surgery service has led to: the development of a dedicated transoral robotic surgery patient care protocol, the performance of progressively more complex procedures, the inclusion of transoral robotic surgery training and the establishment of several research projects.

Keywords: Hypopharynx; Larynx; Oropharynx; Robotics; Safety; Technology.

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Similar articles Establishing and integrating a transoral robotic surgery programme into routine oncological management of head and neck cancer - a UK perspective - ERRATUM. Arora A, Brunet A, Oikonomou G, Tornari C, Faulkner J, Jeyarajah J, Touska P, Sandison A, Rovira A, Simo R, Jeannon JP. J Laryngol Otol. 2023 Jan;137(1):118. doi: 10.1017/S0022215122002249. Epub 2022 Nov 22. PMID: 36411962 Free PMC article. No abstract available. History and Acceptance of Transoral Robotic Surgery. Thaler ER. Otolaryngol Clin North Am. 2020 Dec;53(6):943-948. doi: 10.1016/j.otc.2020.07.006. Epub 2020 Aug 21. PMID: 32838969 Review. Prospective clinical trial to evaluate safety and feasibility of using a single port flexible robotic system for transoral head and neck surgery. Chan JYK, Tsang RK, Holsinger FC, Tong MCF, Ng CWK, Chiu PWY, Ng SSM, Wong EWY. Oral Oncol. 2019 Jul;94:101-105. doi: 10.1016/j.oraloncology.2019.05.018. Epub 2019 May 28. PMID: 31178203 Compared Outcomes of Concurrent versus Staged Transoral Robotic Surgery with Neck Dissection. Frenkel CH, Yang J, Zhang M, Altieri MS, Telem DA, Samara GJ. Otolaryngol Head Neck Surg. 2017 Nov;157(5):791-797. doi: 10.1177/0194599817706499. Epub 2017 May 9. PMID: 28485196 Robotic-Assisted Surgery in the Head and Neck. Burton J, Wong R, Padhya T. Cancer Control. 2015 Jul;22(3):331-4. doi: 10.1177/107327481502200311. PMID: 26351889 Review. See all similar articles Cited by Establishing and integrating a transoral robotic surgery programme into routine oncological management of head and neck cancer - a UK perspective - ERRATUM. Arora A, Brunet A, Oikonomou G, Tornari C, Faulkner J, Jeyarajah J, Touska P, Sandison A, Rovira A, Simo R, Jeannon JP. J Laryngol Otol. 2023 Jan;137(1):118. doi: 10.1017/S0022215122002249. Epub 2022 Nov 22. PMID: 36411962 Free PMC article. No abstract available. MeSH terms Head and Neck Neoplasms* / surgery Humans Robotic Surgical Procedures* / methods United Kingdom Related information MedGen LinkOut - more resources Full Text Sources Cambridge University Press Medical MedlinePlus Health Information