Robot-Assisted Neck Dissection Through a Modified Facelift Incision.
OBJECTIVE
The aim of this study is to describe the feasibility as well as oncologic outcomes of robot-assisted neck dissection (RAND) through a modified facelift incision in an American population.


METHODS
Retrospective case series.


METHODS
University tertiary care hospital.


METHODS
All patients who underwent RAND between November 2012 and December 2014 were included. Medical records were reviewed for demographics, medical histories, staging, operative information, postoperative hospital course and complications, and oncologic outcomes.


RESULTS
There were 11 RANDs identified among 10 patients. Five patients had known nodal metastasis at the time of surgery. Two patients had been previously irradiated. The average time of surgery was 284.4 ± 72.3 minutes, including other associated procedures. The average lymph node yield was 28.5 ± 9.3 nodes. There were no major complications. Average follow-up was 19.4 months. There was 1 supraclavicular recurrence in a previously irradiated patient. All patients are currently alive and without evidence of disease.


CONCLUSIONS
Robot-assisted neck dissection is a safe and feasible procedure that can be performed by surgeons with familiarity with neck dissection and robot-assisted surgery and who have been trained in RAND. Appropriate oncologic outcomes can be obtained in a patient wishing to avoid a noticeable scar.
Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
William G
WG
Albergotti
Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
James K
JK
Byrd
Veterans Affairs Pittsburgh Health System, Pittsburgh, Pennsylvania, USA Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Melonie
M
Nance
Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, South Korea.
Eun Chang
EC
Choi
Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, South Korea.
Yoon Woo
YW
Koh
Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Seungwon
S
Kim
Veterans Affairs Pittsburgh Health System, Pittsburgh, Pennsylvania, USA Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA duvuriu@upmc.edu.
Umamaheswar
U
Duvvuri
D000328:Adult; D000368:Aged; D005240:Feasibility Studies; D005260:Female; D006258:Head and Neck Neoplasms / Q000473:pathology / Q000601:surgery; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology / Q000601:surgery; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection / Q000009:adverse effects / Q000379:methods; D009364:Neoplasm Recurrence, Local; D009367:Neoplasm Staging; D018579:Patient Selection; D011379:Prognosis; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures / Q000009:adverse effects / Q000379:methods; D016896:Treatment Outcome
head and neck squamous cell carcinoma; head and neck surgery; neck dissection; surgical outcomes; treatment of head and neck tumors