Authors: Surender Dabas Abhinav Dewan Reetesh Ranjan Ajay Kumar Dewan Anoop Puri Swati H Shah Rupal Sinha
Publish Date: 2014/12/17
Volume: 20, Issue: 4, Pages: 693-700
Abstract
From March 2013 to May 2014 60 patients with oropharyngeal lesions underwent TORS with or without neck dissection using the ‘DaVinci’ robot Patients were observed and data recorded on surgical time blood loss complications and functional outcome of patientsAll 60 patients underwent TORS with neck dissection performed in 45 of the patients A positive margin was seen in two patients 33 Intent to treatment was radical in 42 patients and salvage in 18 patients None of the patients required tracheostomy and one patient 166 died postoperatively Postoperative complications in the form of primary haemorrhage required active intervention in three patients Average estimated blood loss was 265 ± 311 ml Postoperatively all patients had adequate swallowing and speech function with nasal twang reported in three patients on longterm follow up Patients started tolerating oral feeds within a week of procedure mean 396 days with the nasogastric tube removed on the ninth postoperative day mean 919 days No longterm gastrostomy tube dependency was reported
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