Transoral robotic pharyngeal head and neck surgery

The introduction of surgical robots has enabled surgeons to perform precise, minimally invasive lesion removal. Surgical robots provide a clearer view and more flexible operating space than traditional surgery, and the dead or forbidden areas that could not be well exposed in the past are now easily accessible with the help of surgical robots, another new weapon in the field of minimally invasive surgery. Currently, surgical robots are available in various surgical fields, mainly cardiothoracic surgery, urology, general surgery, pharyngeal head and neck surgery, and obstetrics and gynecology. In these disciplines, surgical robots are playing their irreplaceable role and will be a direction of future surgical development. What are the main problems addressed by transoral robotic surgery in otolaryngology, head and neck surgery?From 2011 to 2013, I was a postdoctoral fellow in the United States, during which I came to Philadelphia for a 3-month transoral robotic surgery study at the Department of Otolaryngology, Head and Neck Surgery at the Hospital of the University of Pennsylvania, where as many as eight Nobel Prizes have been awarded. The department, led by Professors Weinstein and O’Malley, began one of the first transoral robotic surgeries in the nation, a clinical technique approved by the FDA in April 2010, and has regularly gone on to conduct training courses that have attracted specialists in pharyngeal head and neck surgery from China, Japan, Korea, and within the United States. At present, transoral robotic surgery mainly includes: robotic surgical excision of parapharyngeal tumors, tongue root reduction and snoring surgery, nasal, lateral skull base and nasopharyngeal mass excision, tongue root tumor excision, tonsil excision, radical treatment of oropharyngeal tonsil cancer, partial laryngectomy and laryngectomy for supraglottic laryngeal cancer. To perform transoral robotic surgery requires specialized surgical training, dedicated nurses to prepare the ancillary equipment, physicians to understand the anatomy and approach in the transoral robotic surgery state and be familiar with the conventional surgical approach, preoperative evaluation and postoperative management, etc.