title: Transoral robotic total laryngectomy: report of 3 cases.
abstract: BACKGROUND
  Because of the significant toxicity of chemoradiation regimens, there has been a resurgence of interest in the primary surgical management of head and neck cancer and, in particular, the use of minimally invasive surgery. One such technique is transoral robotic surgery (TORS). We aim to discuss the potential role of TORS in patients requiring total laryngectomy (TL).
  
  
  RESULTS
  Three patients underwent TORS-assisted narrow-field TL. Relative data on preoperative, intraoperative, and postoperative management were collated including postoperative complications.
  
  
  CONCLUSIONS
  We present 3 cases of transoral robotic surgery (TORS)-assisted TL in patients requiring narrow field laryngectomy without requirement for neck dissection. In reviewing these cases we provide a discussion of pertinent preoperative and intraoperative considerations that can assist in facilitating successful completion of the procedure. In particular, appropriate assessment at the pinsertlinePOLA_Del_Blank_PgPOLA_Shift_FramePORT_rem_fpg_underremovelinetabminilanning endoscopy in addition to a methodical surgical approach are vital to the successful use of the robot in TORS-assisted TL.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Western University, London, Ontario, Canada.
authors.forename: Samuel
authors.initials: S
authors.lastname: Dowthwaite
authors.forename: Anthony C
authors.initials: AC
authors.lastname: Nichols
authors.forename: John
authors.initials: J
authors.lastname: Yoo
authors.forename: Richard V
authors.initials: RV
authors.lastname: Smith
authors.forename: Sandeep
authors.initials: S
authors.lastname: Dhaliwal
authors.forename: John
authors.initials: J
authors.lastname: Basmaji
authors.forename: Jason H
authors.initials: JH
authors.lastname: Franklin
authors.forename: Kevin
authors.initials: K
authors.lastname: Fung
mesh_terms: D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery; D002813:Chondrosarcoma / Q000473:pathology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology* / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D057605:Natural Orifice Endoscopic Surgery / Q000295:instrumentation / Q000379:methods*; D009361:Neoplasm Invasiveness / Q000473:pathology; D009367:Neoplasm Staging; D012371:Robotics / Q000379:methods*; D012494:Sampling Studies; D016896:Treatment Outcome
keywords: minimally invasive surgery; total laryngectomy; transoral robotic surgery