BACKGROUND: The da Vinci single-port (SP) robot is a new instrument for transoral robotic surgery (TORS) in oropharyngeal cancers (OPSCCs). We describe one-year SP surgical outcomes and compare them to da Vinci Si outcomes. METHODS: Retrospective cohort study at a high-volume TORS center. Consecutive patients undergoing TORS SP procedures from 10/2018 to 09/2019 were included. SP OPSCC outcomes were compared to a historical cohort of Si OPSCC patients. t tests were used to compare continuous variables; χ2 or Wilcoxon rank-sum tests were used to compare nonparametric categorical variables. RESULTS: Seventy-eight patients underwent SP TORS. The bleed rate was 5.1%, mortality rate was 2.6%, and conversion rate was 0%. Compared to the Si cohort, OPSCC patients undergoing TORS SP procedures saw no significant differences in operative time or post-TORS bleeds (P > .05). CONCLUSIONS: The SP is a comparably safe surgical instrument. Overall learning curve for the SP was rapid among experienced TORS surgeons.
BACKGROUND: The da Vinci single-port (SP) robot is a new instrument for transoral robotic surgery (TORS) in oropharyngeal cancers (OPSCCs). We describe one-year SP surgical outcomes and compare them to da Vinci Si outcomes. METHODS: Retrospective cohort study at a high-volume TORS center. Consecutive patients undergoing TORS SP procedures from 10/2018 to 09/2019 were included. SP OPSCC outcomes were compared to a historical cohort of Si OPSCC patients. t tests were used to compare continuous variables; χ2 or Wilcoxon rank-sum tests were used to compare nonparametric categorical variables. RESULTS: Seventy-eight patients underwent SPTORS. The bleed rate was 5.1%, mortality rate was 2.6%, and conversion rate was 0%. Compared to the Si cohort, OPSCC patients undergoing TORS SP procedures saw no significant differences in operative time or post-TORS bleeds (P > .05). CONCLUSIONS: The SP is a comparably safe surgical instrument. Overall learning curve for the SP was rapid among experienced TORS surgeons.
Authors: Alexander M Choi; Michael J Brenner; Daniel Gorelik; Isaac D Erbele; Matthew G Crowson; Prajoy Kadkade; Masayoshi Takashima; Peter L Santa Maria; Robert S Hong; Austin S Rose; Benjamin T Ostrander; Cyrus C Rabbani; Robert J Morrison; Philip A Weissbrod; Alan D Tate; Joshua J Kain; Ioan A Lina; Scott R Shaffer; Omar G Ahmed Journal: OTO Open Date: 2022-09-23