FKWO リトラクターを使用した経口腔ロボット支援手術 (TORS) シミュレーション

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  • THE SIMULATION OF TRANSORAL ROBOTIC SURGERY USING FKWO RETRACTOR AND 8MM ENDOWRIST

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Introduction: Transoral robotic surgery (TORS) for head and neck cancer treatment is not approved in Japan. We have stared TORS as a clinical trial from August 2011. We presented the result of simulation surgery previously. But larynx and hypopharynx couldn't be exposed adequately because of instrument limitation. In June 2013, a new FKWO retractor become available.<br>　Aim: We attempted whether larynx and hypopharynx could be exposed and whether 8mm EndoWrist could be handled smoothly in these areas.<br>　Results: We were able to clearly expose these areas. However the movement of EndoWrist was limited at lateral side of hypopharynx and ventral side of larynx.<br>　Conclusion: The exposure of TORS was improved but cases of larynxand hypopharynx should carefully be selected.

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