da Vinci® Transoral Surgery

Head and Neck Surgical Associates is the first private practice head and neck surgical practice to offer Transoral Robotic Surgery (TORS) with the da Vinci® Robot, performed by Dr. David Rudman. TORS is indicated for certain benign and malignant tumors of the head and neck. It has also been featured on the “Today Show” for advanced treatment of obstructive sleep apnea. There are significant advantages to robotic surgery over traditional surgical approaches. To learn more contact our office today.



Introduction

da Vinci® Transoral Surgery (TORS) is perhaps the most effective minimally invasive surgical treatment for diseases of the head and neck available today. The da Vinci Surgical System allows the surgeon to provide the patient with procedures equivalent to traditional transoral surgery, but with the advantage of 3D high-definition visualization of the laryngopharyngeal structures, and the precision and dexterity afforded by robotic instrumentation. Additionally, da Vinci TORS allows the performance of endoscopic procedures that otherwise would be performed through an open approach, therefore minimizing morbidity and improving functional outcome as compared to an open approach.

Potential Patient Benefits

When compared to other surgical approaches, da Vinci Transoral Surgery may offer the patient numerous potential benefits, including:

  • Low blood loss
  • No visible scarring or disfigurement
  • No tracheostomy
  • Minimization of need for chemoradiation therapy
  • Low rate of complications
  • Short length of stay
  • Fast recovery, return to normal speech and swallowing
  • Excellent cancer control

Potential Surgeon Advantages

General Advantages

  • Enhanced 3D HD visualization allowing precise dissection
  • With the angled telescopes and wristed instrument, issues of line-of-sight required for standard microscopic transoral laser surgery are eliminated
  • Maximum preservation of function and enhanced definition of safe margin for complete tumor removal
  • da Vinci technology provides enhanced possibility to adapt the surgical procedure to the intraoperative findings without compromising oncological principles
  • Tremor-free laser probe application available as an alternative to electrocautery, when indicated

Advantages Specific to da Vinci Transoral Surgery (TORS)

  • Avoidance of significant morbidity of a translabial mandibulotomy, including lip and chin scars in selected cases
  • Avoidance of the need for combined chemotherapy and radiation in selected cases
  • Potential to improve swallowing function due to added surgical precision
  • Avoidance of malocclusion and chronic aspiration in selected cases
  • Potential to avoid tracheostomy
  • Visualization and reach of deepest structures with robotic instruments
  • Transoral suturing capability for enhanced reconstruction capability