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Oncologic outcomes with transoral robotic surgery for supraglottic squamous cell carcinoma: Results of the French Robotic Surgery Group of GETTEC
- Source :
- Head and Neck, Head and Neck, Wiley, 2018, 40 (9), pp.2050--2059. ⟨10.1002/hed.25199⟩
- Publication Year :
- 2018
- Publisher :
- HAL CCSD, 2018.
-
Abstract
- International audience; BACKGROUND: Transoral robotic surgery (TORS) is an option to treat supraglottic squamous cell carcinomas (SCCs). We studied the oncologic outcomes after TORS for supraglottic laryngectomy (SGL). METHODS: We conducted a multicenter observational study of SGL using TORS for patients with supraglottic SCC with at least 2 years of follow-up. RESULTS: One hundred twenty-two patients were included in our study. Mean follow-up was 42.8 months. Local control was 94.3% at 2 years and 90.2% at 5 years. Overall survival and disease-free survival were 86.9% and 95.1% at 2 years, and 78.7% and 94.3% at 5 years, respectively. Sixty-three patients (51.6%) received adjuvant radiotherapy. For 16 of them, this was due to close or positive margins. CONCLUSION: Local control rate after TORS SGL was at least equivalent to what has been described in the literature for open or transoral laser surgery, or with radiotherapy. Using TORS seems to be an effective therapeutic treatment of early-stage and intermediate-stage supraglottic SCCs.
- Subjects :
- Male
Adult
Natural Orifice Endoscopic Surgery
medicine.medical_specialty
da Vinci robotic system
medicine.medical_treatment
[SDV]Life Sciences [q-bio]
Laryngectomy
supraglottic laryngectomy
Disease-Free Survival
03 medical and health sciences
0302 clinical medicine
Robotic Surgical Procedures
Transoral robotic surgery
medicine
Carcinoma
Humans
Robotic surgery
030223 otorhinolaryngology
Survival rate
Laryngeal Neoplasms
Retrospective Studies
Aged
oncologic outcomes
business.industry
Head and neck cancer
Middle Aged
medicine.disease
3. Good health
Surgery
Radiation therapy
Survival Rate
Treatment Outcome
Otorhinolaryngology
Squamous Cell
030220 oncology & carcinogenesis
Supraglottic Squamous Cell Carcinoma
Carcinoma, Squamous Cell
head and neck cancer
Female
transoral robotic surgery
business
Subjects
Details
- Language :
- English
- ISSN :
- 10433074 and 10970347
- Database :
- OpenAIRE
- Journal :
- Head and Neck, Head and Neck, Wiley, 2018, 40 (9), pp.2050--2059. ⟨10.1002/hed.25199⟩
- Accession number :
- edsair.doi.dedup.....f41cd813ef0023d6ffab3fd98c42dff7