Cirugía robótica transoralconcepto e indicaciones

  1. Granell Navarro, José
  2. Garrido García, Laura
  3. Millás Gómez, Teresa
  4. Gutiérrez Fonseca, Raimundo
Revista:
Revista ORL

ISSN: 2444-7986,  2444-7986

Año de publicación: 2013

Volumen: 4

Páginas: 76-95

Tipo: Artículo

DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Otras publicaciones en: Revista ORL

Resumen

Introducción. La cirugía robótica transoral supone un paso adelante en la evolución de la cirugía mínimamente invasiva en cabeza y cuello, que optimiza las dos exigencias básicas de este tipo de abordajes quirúrgicos: excelente visión y libertad de manipulación. Su desarrollo desde el año 2009 ha sido explosivo. Material y Métodos. Se describen los aspectos técnicos del sistema de cirugía robótica da Vinci y los procedimientos quirúrgicos básicos (amigdalectomía radical, exéresis de base de lengua y laringectomía supraglótica). A través de una revisión de la literatura se presenta la experiencia clínica disponible. Resultados. La cirugía robótica transoral se ha aplicado principalmente en el cáncer de cabeza y cuello. Se han publicado ya series numerosas con resultados funcionales y oncológicos comparables a las técnicas estándar. La cirugía robótica amplia particularmente las posibilidades de abordaje transoral en la orofaringe. El abordaje quirúrgico de la base de la lengua abre también nuevas posibilidades en el manejo de la apnea del sueño. Los abordajes robóticos a la base de cráneo siguen en terreno experimental. Discusión. Los datos disponibles avalan el uso de la cirugía robótica transoral y orientan hacia cambios sustanciales en los protocolos de manejo del cáncer de cabeza y cuello.

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Fuente de los datos: Dialnet