Our Summary

This study investigates the possibility of performing a specific type of throat surgery (Supraglottic Laryngectomy) using advanced robotic technology (transoral robotic surgery or TORS). Tests were conducted on human cadaver specimens. The researchers used a robotic surgical system (da Vinci Sp) that allowed them to reach the necessary areas with enough visibility to perform the surgery. They also found that they could use a standard tool (laryngo-pharyngoscope retractor) to access and expose the area. The robotic system allowed the use of three surgical tools and a camera, with little interference or restriction.

The study concludes that using this advanced robotic system could potentially make it easier to perform this type of surgery, which is often difficult due to the complexity of the area and the difficulty in seeing and reaching the necessary parts. This is a promising development for the treatment of cancers in this area of the throat.

FAQs

  1. What is the feasibility of transoral robotic surgery (TORS) supraglottic laryngectomy (SGL) using a next-generation flexible surgical robot?
  2. What technical challenges have previously hindered routine resection of supraglottic cancers through TORS?
  3. How does the use of a next-generation flexible surgical robot improve the process of TORS SGL?

Doctor’s Tip

A helpful tip a doctor might tell a patient about laryngectomy is to practice good oral hygiene and regular mouth care to prevent infections and complications post-surgery. This can include gently brushing the teeth and gums, using a mouthwash recommended by the healthcare provider, and keeping the mouth moist with hydration and saliva substitutes if necessary.

Suitable For

Patients who are typically recommended for laryngectomy include those with advanced stage supraglottic cancers that have not responded to other treatments such as radiation or chemotherapy. These patients may have tumors that are too large or invasive to be effectively treated with traditional surgical techniques. Laryngectomy may also be recommended for patients with recurrent or persistent laryngeal cancer, or for those who are unable to undergo other forms of treatment due to medical conditions or other factors. Additionally, laryngectomy may be recommended for patients with benign tumors or other conditions that affect the larynx and cannot be treated with less invasive methods.

Timeline

Before laryngectomy:

  • Patient is diagnosed with supraglottic cancer
  • Patient undergoes various tests and consultations to determine the best course of treatment
  • Patient may undergo chemotherapy or radiation therapy prior to surgery
  • Patient undergoes preoperative counseling and preparation for laryngectomy surgery

After laryngectomy:

  • Patient undergoes laryngectomy surgery, which involves removal of part or all of the voice box
  • Patient may undergo reconstructive surgery to restore speech and swallowing functions
  • Patient requires postoperative care and rehabilitation, including speech therapy and physical therapy
  • Patient adjusts to life without a voice box and learns how to communicate using alternative methods such as a tracheoesophageal puncture (TEP) or a voice prosthesis
  • Patient may experience changes in quality of life and psychological adjustment following laryngectomy.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with a laryngectomy procedure?
  2. How will the surgery affect my ability to speak and communicate?
  3. What type of rehabilitation or speech therapy will be necessary after the procedure?
  4. Will I need a feeding tube temporarily or permanently after the surgery?
  5. How long will the recovery process be and what can I expect in terms of pain and discomfort?
  6. What changes will I need to make in my daily life and activities after the surgery?
  7. What long-term effects can I expect from a laryngectomy?
  8. Are there any alternative treatment options available for my condition?
  9. How experienced are you in performing laryngectomy procedures and what is your success rate?
  10. What follow-up care will be needed after the surgery?

Reference

Authors: Orosco RK, Tam K, Nakayama M, Holsinger FC, Spriano G. Journal: Head Neck. 2019 Jul;41(7):2143-2147. doi: 10.1002/hed.25676. Epub 2019 Feb 18. PMID: 30775823