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La chirurgie robotique en cancérologie ORL

Transoral robotic surgery (TORS) for head and neck cancer

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Oncologie

Résumé

La chirurgie robotique en cancérologie ORL est une discipline récente et en évolution constante. La prise en charge thérapeutique des cancers ORL passe actuellement par une stratégie non chirurgicale dite de préservation d’organe. La chirurgie quand elle est retenue peut être en première intention ou dans le cadre d’une chirurgie de rattrapage. Elle s’effectue par voie transcutanée ou transorale, et dans ce cas l’apport du robot est souligné. Nous passerons en revue les acquis actuels publiés pour faire le point avec notre expérience sur les indications actuelles de ce mode opératoire, les avantages, les inconvénients, les développements futurs ainsi que les attentes de l’utilisateur avisé.

Abstract

Transoral robotic surgery (TORS) in Head and Neck oncology is a recent technical option with continued refinements. The management of head and neck cancer is currently based on organ preservation strategy. Surgery when required can be a first-line or as part of a salvage surgery. It is performed by open neck approach or transorally. In the case of a transoral surgery, the contribution of the robot is outlined. In this article, we have reviewed the existing published data and based on our expertise provided to the reader the evidence about the role of TORS for head and neck cancer, current indications for this procedure, advantages, disadvantages future developments as well as the user’s expectations.

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Authors and Affiliations

  1. Chef du département de chirurgie, Service ORL et chirurgie cervicofaciale, université catholique de Louvain, CHU UCL Namur, avenue Docteur-G.-Therasse, no 1 Yvoir, B-5530, Yvoir, Namur, Belgique

    G. Lawson, S. Van der vorst, O. Desgain & V. Bachy

Authors
  1. G. Lawson
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  2. S. Van der vorst
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  3. O. Desgain
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  4. V. Bachy
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Corresponding author

Correspondence to G. Lawson.

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Lawson, G., Van der vorst, S., Desgain, O. et al. La chirurgie robotique en cancérologie ORL. Oncologie 18, 320–324 (2016). https://doi.org/10.1007/s10269-016-2624-6

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  • DOI: https://doi.org/10.1007/s10269-016-2624-6

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