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Robotic Selective Neck Dissection by a Postauricular Facelift Approach Comparison with Conventional Neck Dissection

Title
Robotic Selective Neck Dissection by a Postauricular Facelift Approach Comparison with Conventional Neck Dissection
Author
조석현
Keywords
robotic neck dissection; facelift approach; head and neck squamous cell carcinoma; endoscopic neck surgery; scarless surgery
Issue Date
2014-03
Publisher
Elsevier Science B.V
Citation
Otolaryngology-Head and Neck Surgery, 2014, 150(3), P.394-400
Abstract
Objectives The aim of this study was to investigate the feasibility and efficacy of robot-assisted neck dissection by a postauricular facelift approach in head and neck squamous cell carcinoma (HNSCC), compared with conventional neck dissection. Study Design Case series with chart review. Setting University tertiary care hospital. Subjects and Methods Thirty HNSCC patients with clinically node negative necks (cN0) who underwent robot-assisted selective neck dissection (SND) by a postauricular facelift approach (11 patients, 12 necks) or conventional neck dissection (19 patients, 21 necks). Results The mean age was lower in the robotic group (P = .030). However, the distributions of gender and TNM stage did not differ between the two groups. The robotic SND was completed successfully in all patients. The mean operative time was longer in the robotic group (215 +/- 56 min) than the conventional group (144 +/- 43 min) (P < .001). The mean numbers of lymph nodes removed were 25.0 +/- 7.4 and 28.9 +/- 8.2 in the robotic and conventional group, respectively (P = .192), and the number of lymph nodes removed at each level also did not differ between the 2 groups. In addition, there was no significant difference in postoperative complications between the 2 groups, but cosmetic satisfaction was higher in the robot group (P = .002). Conclusions Robot-assisted SND by a postauricular facelift approach is comparable to conventional neck dissection in selected patients with cN0 HNSCC and results in excellent postoperative cosmesis.
URI
http://journals.sagepub.com/doi/10.1177/0194599813515431http://repository.hanyang.ac.kr/handle/20.500.11754/71213
ISSN
0194-5998; 1097-6817
DOI
10.1177/0194599813515431
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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