Volume 44, Issue 8 pp. 1940-1947
ORIGINAL ARTICLE

Long-term results of robotic-assisted nasopharyngectomy for recurrent nasopharyngeal carcinoma

Raymond K. Tsang MS, FRCSEd

Corresponding Author

Raymond K. Tsang MS, FRCSEd

Division of Otorhinolaryngology, Department of Surgery, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China

Division of Head and Neck Surgery, Department of Surgery, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China

Correspondence

Raymond K. Tsang, Department of Surgery, University of Hong Kong, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong, China.

Email: [email protected]

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Walter C. P. Chan FRCSEd

Walter C. P. Chan FRCSEd

Department of ENT, Queen Mary Hospital, Hong Kong, China

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Floyd Christopher Holsinger MD

Floyd Christopher Holsinger MD

Division of Head and Neck Surgery, Department of Otolaryngology, Stanford University, Palo Alto, California, USA

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Joseph C. K. Chung FRCSEd

Joseph C. K. Chung FRCSEd

Department of ENT, Queen Mary Hospital, Hong Kong, China

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Velda L. Y. Chow MS

Velda L. Y. Chow MS

Division of Head and Neck Surgery, Department of Surgery, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China

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Jimmy Y. W. Chan MS, PhD

Jimmy Y. W. Chan MS, PhD

Division of Head and Neck Surgery, Department of Surgery, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China

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Wai-Kuen Ho FRCSEd

Wai-Kuen Ho FRCSEd

Department of ENT, Queen Mary Hospital, Hong Kong, China

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William I. Wei MS, FRCSEd, FRACS (Hons)

William I. Wei MS, FRCSEd, FRACS (Hons)

Hong Kong Sanatorium and Hospital, Happy Valley, Hong Kong, China

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First published: 01 June 2022
Citations: 1

The manuscript has been presented in the Virtual AHNS 10th International Conference on Head and Neck Cancer as a poster presentation.

Abstract

Background

We have previously reported our early experience in robotic-assisted nasopharyngectomy. The current case series is a report of our experience in 33 robotic-assisted nasopharyngectomy.

Methods

Prospective series of patients who underwent robotic-assisted nasopharyngectomy for local recurrent nasopharyngeal carcinoma from January 2010 to March 2019.

Results

Thirty-one patients underwent robotic-assisted nasopharyngectomy with two additional second procedure for positive margin. Median age is 55 years (29–85). Twenty-five patients had rT1 disease and six patients had tumor invaded sphenoid floor (rT3). Median operative time was 227 min and median blood loss was 200 ml. The median follow-up period for all patients were 38 months. Four patients had local recurrence. Five-year local control rate, overall survival, and disease-free survival are 85.1%, 55.7%, and 69.1%, respectively.

Conclusion

Robotic-assisted nasopharyngectomy for recurrent nasopharyngectomy was showed to have a high local control rate. The operating time was comparable to open surgery.

CONFLICT OF INTEREST

Raymond K. Tsang had received travel support from Intuitive Surgical Inc. for robotic surgery research.

DATA AVAILABILITY STATEMENT

Data are available on request from the authors

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.