Submandibular gland resection via the trans‐hairline approach: A preclinical study of a novel flexible single‐port surgical system and the surgical experiences of standard multiarm robotic surgical systems

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  • Tsung‐Lin Yang
    Department of Otolaryngology National Taiwan University Hospital and College of Medicine Taipei Taiwan
  • Hong Li
    Yale University School of Medicine New Haven Connecticut
  • Floyd Christopher Holsinger
    Division of Head & Neck Surgery, Department of Otolaryngology Stanford University California
  • Yoon Woo Koh
    Department of Otorhinolaryngology Yonsei University College of Medicine Seoul Republic of Korea

Abstract

<jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>Cosmetic outcome after submandibular gland (SMG) surgery has greatly improved since the development of robotic surgery through a trans‐hairline approach. However, the bulky sizes of robotic arms and the rigid design of camera and instruments in the current multiarm robotic systems increased the surgical difficulty.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Clinical and preclinical studies demonstrated the surgical configuration and procedures of robotic trans‐hairline SMG resection using a flexible, single‐port, and multiarm systems.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The surgical procedures of trans‐hairline approach for SMG resection could be successfully performed using the flexible single‐port (SP) robotic system in the preclinical study. The unique features include an easier docking procedure, different viewing angles, the use of the third arm, and coordination of instrument positions without a bedside assistant, which are unavailable in current multiarm robotic systems.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>This study demonstrates the feasibility and the advantages of applying the flexible, SP robotic system in SMG resection through the trans‐hairline approach.</jats:p></jats:sec>

Journal

  • Head & Neck

    Head & Neck 41 (7), 2231-2238, 2019-03-21

    Wiley

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