Abstract
Traditional open surgical approaches for hypopharyngeal carcinomas carry a great risk of developing treatment-related morbidity. Transoral robotic surgery (TORS) is an established treatment modality for head and neck cancer and can minimise this morbidity. Owing to the access and improved flexibility of the robotic system, hypopharyngeal tumours can now be reached and successfully treated with organ preservation, resulting in adequate function, especially in swallowing and phonation. In this study, we describe the surgical technique and clinical and oncological results for supracricoid hemilaryngopharyngectomy performed by transoral robotic surgery (TORS SCHLP) in a patient with hypopharyngeal carcinoma extending to the arytenoid mucosa. An interarytenoid sagittal cut extending to the cricoid cartilage was made. The epiglottis was split via a laterally placed vertical incision at the tumour-bearing side, extending to the anterior commissure. The inner perichondrium of the thyroid cartilage was peeled off. A horizontal cut in the postcricoid region was made, paying close attention to the safe surgical margins. A final cut, parallel to the cricoid cartilage, was made using curved scissors and the tumour was removed en bloc. In conclusion, TORS SCHLP should be considered for resectable tumours to avoid the undesirable consequences of open surgical resection.
Keywords
References
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Abstract
References
- 1. Honda K, Miura M, Hayashi Y, Kimura T. Combined transoral-transhyoid endoscopic approach for hypopharyngeal cancer. Auris Nasus Larynx 2018;45(5):1098-102. google scholar
- 2. Kreeft AM, Molen Lvd, Hilgers FJ, Balm AJ. Speech and swallowing after surgical treatment of advanced oral and oropharyngeal carcinoma: a systematic review of the literature. Eur Arch Otorhinolaryngol 2009;266:1687-98. google scholar
- 3. Muto M, Minashi K, Yano T, Saito Y, Oda I, Nonaka S, et al. Early detection of superficial squamous cell carcinoma in the head and neck region and esophagus by narrow band imaging: a multicenter randomized controlled trial. J Clin Oncol 2010;28(9):1566. google scholar
- 4. Laccourreye O, Garcia D, Ishoo E, Kania R, de Mones E, Hans S. Supracricoid hemilaryngopharyngectomy in patients with invasive squamous cell carcinoma of the pyriform sinus: part I: technique, complications, and long-term functional outcome. Ann Otol Rhinol Laryngol 2005;114(1):25-34. google scholar
- 5. Martin A, Jackel MC, Christiansen H, Mahmoodzada M, Kron M, Steiner W. Organ preserving transoral laser microsurgery for cancer of the hypopharynx. The Laryngoscope 2008;118(3):398-402. google scholar
- 6. Park YM, Kim WS, De Virgilio A, Lee SY, Seol JH, Kim S-H. Transoral robotic surgery for hypopharyngeal squamous cell carcinoma: 3-year oncologic and functional analysis. Oral Oncol 2012;48(6):560-6. google scholar
- 7. Andre P, Pinel J, Laccourreye H, editors. Vertical partial surgery in cancers of the piriform sinus. Ann Otolaryngol Chir Cervicofac 1965;82(12):901-8. google scholar
- 8. Laccourreye H, St Guily JL, Fabre A, Brasnu D, Menard M. Supracricoid hemilaryngopharyngectomy: analysis of 240 cases. Ann Otol Rhinol Laryngol 1987;96(2):217-21. google scholar
- 9. Park YM, Byeon HK, Chung HP, Choi EC, Kim S-H. Comparison study of transoral robotic surgery and radical open surgery for hypopharyngeal cancer. Acta Otolaryngol 2013;133(6):641-8. google scholar
Details
| Primary Language | English |
|---|---|
| Subjects | Otorhinolaryngology |
| Journal Section | Case Report |
| Authors | |
| Publication Date | December 31, 2024 |
| Submission Date | August 18, 2024 |
| Acceptance Date | November 18, 2024 |
| Published in Issue | Year 2024 Volume: 34 Issue: 4 |
