Gland-preserving robotic surgery for benign submandibular gland tumours: A comparison between robotic and open techniques
Journal
British Journal of Oral and Maxillofacial Surgery
Journal Volume
52
Journal Issue
5
Pages
420-424
Date Issued
2014
Abstract
Benign tumours of the submandibular gland are usually treated surgically. Gland-preserving techniques, which can be used to completely remove the tumour, preserve the function of the gland and reduce complications, but conventional open operations result in obvious scars on the neck. We aimed to investigate the feasibility and efficacy of gland-preserving robotic surgery using a hairline approach. We compared robotic with open techniques for gland-preserving operations to remove benign tumours of the submandibular gland. Patients were matched for age and sex (4 in each group). All patients in the robotic surgery group had their tumours removed successfully through hairline approaches. No patient had operative complications or postoperative functional nerve deficit, and an aesthetically pleasing outcome was achieved by concealing the scars within the hairline. Robotic operations took longer than open operations. No recurrence was noted during follow-up. Gland-preserving robotic surgery is a feasible alternative to conventional techniques and has potential advantages for safety and aesthetic outcome. ? 2014 The British Association of Oral and Maxillofacial Surgeons.
SDGs
Other Subjects
adult; article; blood vessel clip; cancer surgery; case report; cohort analysis; comparative effectiveness; controlled study; dissector; female; fine needle aspiration biopsy; follow up; gland preserving robotic surgery; human; intermethod comparison; laparoscopic shear; length of stay; longitudinal study; middle aged; open surgery; operation duration; operative blood loss; oral surgery; patient safety; preoperative evaluation; prospective study; retractor; robotics; salivary gland tumor; scar; surgical technique; Adenoma, Pleomorphic; case control study; Cicatrix; comparative study; computer assisted surgery; conservative treatment; dissection; esthetics; feasibility study; male; procedures; robotics; scalp; Submandibular Gland Neoplasms; treatment outcome; Adenoma, Pleomorphic; Adult; Blood Loss, Surgical; Case-Control Studies; Cicatrix; Cohort Studies; Dissection; Esthetics; Feasibility Studies; Female; Follow-Up Studies; Humans; Length of Stay; Longitudinal Studies; Male; Middle Aged; Operative Time; Organ Sparing Treatments; Prospective Studies; Robotics; Scalp; Submandibular Gland Neoplasms; Surgery, Computer-Assisted; Treatment Outcome
Publisher
Churchill Livingstone
Type
journal article