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Single-session, dual-site robotic surgery for synchronous primary malignancies of the oropharynx and thorax
- Source :
- Journal of Surgical Case Reports
- Publication Year :
- 2020
- Publisher :
- Oxford University Press (OUP), 2020.
-
Abstract
- Single-session, dual-site robotic surgery for synchronous malignancies is not widely reported. To our knowledge, there are no previous reports of transoral robotic surgery (TORS) and robot-assisted thoracic surgery (RATS) in a single sitting. A 49-year-old male presented with a neck lump. Biopsies and imaging proved synchronous primaries of the tonsil and lung. The morbidity of primary dual-site chemoradiotherapy, or open surgery, presented a management challenge. We therefore opted for sequential robotic resections, in a single sitting. The patient was discharged on Day 6 post-operatively and was able to start radiotherapy less than 3 weeks post-operatively. Undertaking TORS and RATS in a single sitting is feasible and safe. This approach allowed fast-tracking of adjuvant oncological therapy, arguably conveying the greatest chance of cure. We detail the rationale and utility of this novel approach and describe the surgical and anaesthetic challenges of two teams undertaking sequential robotic procedures in a single sitting.
- Subjects :
- Thorax
medicine.medical_specialty
AcademicSubjects/MED00910
oropharyngeal cancer
business.industry
medicine.medical_treatment
Neck mass
Case Report
Sitting
Surgery
jscrep/070
Radiation therapy
Cardiothoracic surgery
Transoral robotic surgery
robot-assisted thoracic surgery
medicine
Robotic surgery
transoral robotic surgery
medicine.symptom
business
dual-site robotic surgery
Chemoradiotherapy
Subjects
Details
- ISSN :
- 20428812
- Volume :
- 2020
- Database :
- OpenAIRE
- Journal :
- Journal of Surgical Case Reports
- Accession number :
- edsair.doi.dedup.....a6180fc875dfd8bcd43562a5a9ba3816