Transoral robotic surgery hypopharyngectomy (TORSH): feasibility and outcomes
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Transoral robotic surgery hypopharyngectomy (TORSH): feasibility and outcomes Samantha Hassid1 · Sébastien Van der Vorst1 · Gilles Delahaut1 · Jérome Ambroise2 · Georges Lawson1 Received: 25 February 2020 / Accepted: 13 April 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose With the development of minimal invasive procedure, trans-oral robotic surgery (TORS) is expanding in the field of ENT. Most reviews focus on oropharyngeal and laryngeal (supra-glottic) localization. We report here the feasibility and outcomes of TORS hypopharyngectomy (TORSH) for selected patients with hypopharyngeal tumor. Methods Between September 2009 and July 2017, 22 patients, retrospectively included, underwent TORSH with curative intent. Results From 22 successful hypopharyngectomy, no conversion to open procedure was needed. Three patients (13%) presented a post-operative bleeding and were managed by surgical revision. No fistula was encountered. The 3-year overall survival and disease-specific survival rates were 54 and 92%, respectively. Patients started oral feeding after an average of 7 days. Naso-gastric feeding tubes were removed after a median period of 16 days. Two patients (9%) needed a transient gastrostomy (
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