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Establishing and integrating a transoral robotic surgery programme into routine oncological management of head and neck cancer - a UK perspective.

Authors :
Arora A
Brunet A
Oikonomou G
Tornari C
Faulkner J
Jeyarajah J
Touska P
Sandison A
Rovira A
Simo R
Jeannon JP
Source :
The Journal of laryngology and otology [J Laryngol Otol] 2022 Dec; Vol. 136 (12), pp. 1231-1236. Date of Electronic Publication: 2022 Feb 22.
Publication Year :
2022

Abstract

Background: The introduction of transoral robotic surgery into routine management of patients is complex. It involves organisational, logistical and clinical challenges. This study presents our experience of implementing such a programme and provides a blueprint for other centres willing to establish similar services.<br />Methods: Implementation of the robotic surgery programme focused on several key domains: training, logistics, governance, multidisciplinary team awareness, pre-operative imaging, anaesthesia, post-operative care, finance, patient selection and consent. Programme outcomes were evaluated by assessing operative outcomes of the first 117 procedures performed.<br />Results: The success of the transoral robotic surgery programme has been possible because of the scrupulous planning phase before the first procedure, and the time invested on team awareness and training.<br />Conclusion: Implementation of a new transoral robotic surgery service has led to: the development of a dedicated transoral robotic surgery patient care protocol, the performance of progressively more complex procedures, the inclusion of transoral robotic surgery training and the establishment of several research projects.

Details

Language :
English
ISSN :
1748-5460
Volume :
136
Issue :
12
Database :
MEDLINE
Journal :
The Journal of laryngology and otology
Publication Type :
Academic Journal
Accession number :
35189991
Full Text :
https://doi.org/10.1017/S002221512100476X