title: Transoral robotic supraglottic partial laryngectomy.
abstract: OBJECTIVE
  Transoral robotic supraglottic laryngectomy is a new surgical way to perform endolaryngeal resection of supraglottic laryngeal carcinoma. The aim of this report was to present our initial experience about transoral robotic supraglottic laryngectomy for early supraglottic cancer.
  
  
  METHODS
  Subjects with early squamous cell carcinoma (T1-T2) of supraglottic region who managed using transoral robotic surgery in a tertiary referral center were included in the study. The technique of robot-assisted resection, intraoperative blood loss, mean robotic operating time, pathologic margin status, postoperative extubation, need for a tracheotomy, and length of hospitalization, complications, duration of oral nutrition, and neck dissection and radiotherapy needs were evaluated.
  
  
  RESULTS
  Thirteen subjects (12 men, 1 woman) with T1-T2 supraglottic carcinoma were successfully operated on with transoral robotic surgery. In all subjects, negative margins were obtained. The mean total robotic surgery time was 31.6 (SD, 16.2) minutes (range, 20-80 minutes). Mean total blood loss was less than 40 mL. Subjects started oral nutrition with a mean of 10.8 (SD, 8.9) days (range, 4-30 days) postoperatively. The mean hospitalization was 15.4 (SD, 10.4) days (range, 7-42 days).
  
  
  CONCLUSIONS
  Transoral robotic supraglottic laryngectomy with the da Vinci robotic system can be regarded as a feasible, safe, and effective technique. Although short-term results seem discouraging, long-term results are needed to evaluate the oncologic safety.
authors.affiliation: From the Department of Otolaryngology Head and Neck Surgery, Bakirköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
authors.forename: Fatma Tülin
authors.initials: FT
authors.lastname: Kayhan
authors.forename: Kamil Hakan
authors.initials: KH
authors.lastname: Kaya
authors.forename: Ahmet
authors.initials: A
authors.lastname: Altintas
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Sayin
mesh_terms: D000368:Aged; D016063:Blood Loss, Surgical; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D005260:Female; D005931:Glottis / Q000473:pathology / Q000601:surgery; D006258:Head and Neck Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D007828:Laryngoscopy / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D061646:Operative Time; D065287:Robotic Surgical Procedures / Q000379:methods*; D000077195:Squamous Cell Carcinoma of Head and Neck