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Single-session, dual-site robotic surgery for synchronous primary malignancies of the oropharynx and thorax
Single-session, dual-site robotic surgery for synchronous malignancies is not widely reported. To our knowledge, there are no previous reports of transoral robotic surgery (TORS) and robot-assisted thoracic surgery (RATS) in a single sitting. A 49-year-old male presented with a neck lump. Biopsies a...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7449555/ https://www.ncbi.nlm.nih.gov/pubmed/32874542 http://dx.doi.org/10.1093/jscr/rjaa258 |
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author | Kelly, Mairead Oikonomou, Georgios Tornari, Chrysostomos Ahmad, Imran Bille, Andrea Jeannon, Jean-Pierre Arora, Asit |
author_facet | Kelly, Mairead Oikonomou, Georgios Tornari, Chrysostomos Ahmad, Imran Bille, Andrea Jeannon, Jean-Pierre Arora, Asit |
author_sort | Kelly, Mairead |
collection | PubMed |
description | Single-session, dual-site robotic surgery for synchronous malignancies is not widely reported. To our knowledge, there are no previous reports of transoral robotic surgery (TORS) and robot-assisted thoracic surgery (RATS) in a single sitting. A 49-year-old male presented with a neck lump. Biopsies and imaging proved synchronous primaries of the tonsil and lung. The morbidity of primary dual-site chemoradiotherapy, or open surgery, presented a management challenge. We therefore opted for sequential robotic resections, in a single sitting. The patient was discharged on Day 6 post-operatively and was able to start radiotherapy less than 3 weeks post-operatively. Undertaking TORS and RATS in a single sitting is feasible and safe. This approach allowed fast-tracking of adjuvant oncological therapy, arguably conveying the greatest chance of cure. We detail the rationale and utility of this novel approach and describe the surgical and anaesthetic challenges of two teams undertaking sequential robotic procedures in a single sitting. |
format | Online Article Text |
id | pubmed-7449555 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-74495552020-08-31 Single-session, dual-site robotic surgery for synchronous primary malignancies of the oropharynx and thorax Kelly, Mairead Oikonomou, Georgios Tornari, Chrysostomos Ahmad, Imran Bille, Andrea Jeannon, Jean-Pierre Arora, Asit J Surg Case Rep Case Report Single-session, dual-site robotic surgery for synchronous malignancies is not widely reported. To our knowledge, there are no previous reports of transoral robotic surgery (TORS) and robot-assisted thoracic surgery (RATS) in a single sitting. A 49-year-old male presented with a neck lump. Biopsies and imaging proved synchronous primaries of the tonsil and lung. The morbidity of primary dual-site chemoradiotherapy, or open surgery, presented a management challenge. We therefore opted for sequential robotic resections, in a single sitting. The patient was discharged on Day 6 post-operatively and was able to start radiotherapy less than 3 weeks post-operatively. Undertaking TORS and RATS in a single sitting is feasible and safe. This approach allowed fast-tracking of adjuvant oncological therapy, arguably conveying the greatest chance of cure. We detail the rationale and utility of this novel approach and describe the surgical and anaesthetic challenges of two teams undertaking sequential robotic procedures in a single sitting. Oxford University Press 2020-08-26 /pmc/articles/PMC7449555/ /pubmed/32874542 http://dx.doi.org/10.1093/jscr/rjaa258 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2020. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Kelly, Mairead Oikonomou, Georgios Tornari, Chrysostomos Ahmad, Imran Bille, Andrea Jeannon, Jean-Pierre Arora, Asit Single-session, dual-site robotic surgery for synchronous primary malignancies of the oropharynx and thorax |
title | Single-session, dual-site robotic surgery for synchronous primary malignancies of the oropharynx and thorax |
title_full | Single-session, dual-site robotic surgery for synchronous primary malignancies of the oropharynx and thorax |
title_fullStr | Single-session, dual-site robotic surgery for synchronous primary malignancies of the oropharynx and thorax |
title_full_unstemmed | Single-session, dual-site robotic surgery for synchronous primary malignancies of the oropharynx and thorax |
title_short | Single-session, dual-site robotic surgery for synchronous primary malignancies of the oropharynx and thorax |
title_sort | single-session, dual-site robotic surgery for synchronous primary malignancies of the oropharynx and thorax |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7449555/ https://www.ncbi.nlm.nih.gov/pubmed/32874542 http://dx.doi.org/10.1093/jscr/rjaa258 |
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