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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Song, Han Gyeol (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine) Yun, In Sik (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine) Lee, Won Jai (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine) Lew, Dae Hyun (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine) Rah, Dong Kyun (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제40권 제4호
발행연도
2013.1
수록면
353 - 358 (6page)

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Background Robots have allowed head and neck surgeons to extirpate oropharyngeal tumors safely without the need for lip-split incision or mandibulotomy. Using robots in oropharyngeal reconstruction is new but essential for oropharyngeal defects that result from robotic tumor excision. We report our experience with robotic free-flap reconstruction of head and neck defects to exemplify the necessity for robotic reconstruction. Methods We investigated head and neck cancer patients who underwent ablation surgery and free-flap reconstruction by robot. Between July 1, 2011 and March 31, 2012, 5 cases were performed and patient demographics, location of tumor, pathologic stage, reconstruction methods, flap size, recipient vessel, necessary pedicle length, and operation time were investigated. Results Among five free-flap reconstructions, four were radial forearm free flaps and one was an anterolateral thigh free-flap. Four flaps used the superior thyroid artery and one flap used a facial artery as the recipient vessel. The average pedicle length was 8.8 cm. Flap insetting and microanastomosis were achieved using a specially manufactured robotic instrument. The total operation time was 1,041.0 minutes (range, 814 to 1,132 minutes), and complications including flap necrosis, hematoma, and wound dehiscence did not occur. Conclusions This study demonstrates the clinically applicable use of robots in oropharyngeal reconstruction, especially using a free flap. A robot can assist the operator in insetting the flap at a deep portion of the oropharynx without the need to perform a traditional mandibulotomy. Robot-assisted reconstruction may substitute for existing surgical methods and is accepted as the most up-to-date method.
#Robotics #Free tissue flaps #Head and neck neoplasms

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참고문헌 (10)

참고문헌 신청
Selber JC / 2012 / Robotic latissimus dorsi muscle harvest: a case series / Plast Reconstr Surg 129:1305~1312 google schola Aubry K / 2011 / Transoral robotic surgery for head and neck cancer: a series of 17 cases / Eur Ann Otorhinolaryngol Head Neck Dis 128:290~296 google schola Park YM / 2013 / Oncological and functional outcomes of transoral robotic surgery for oropharyngeal cancer / Br J Oral Maxillofac Surg 51:408~412 google schola Park YM / 2012 / Transoral robotic surgery for hypopharyngeal squamous cell carcinoma: 3-year oncologic and functional analysis / Oral Oncol 48:560~566 google schola Hurtuk AM / 2012 / Quality-of-life outcomes in transoral robotic surgery / Otolaryngol Head Neck Surg 146:68~73 google schola

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