Robotic Head And Neck Surgery

Robotic Surgery of the Head and Neck is the first comprehensive guide for otolaryngologists who wish to perform robotic head and neck surgery. Edited by leaders in the field, this book focuses on how improved access, visualization, and flexibility of the technology have greatly expanded the capabilities of the head and neck surgeon to treat diseases transorally or through small incisions in the skin. Starting with an overview of minimally invasive surgery in the head and neck, and moving to discussions of anatomic considerations for these procedures and the future applications of robotic surgery for otolaryngologists, Robotic Surgery of the Head and Neck explores the exciting progress of robotic technologies, bringing physicians closer to achieving the benefits of traditional surgery with the least amount of disruption to the patient.

Head and neck surgery for benign and malignant disease is undergoing a groundbreaking transformation. Robot-assisted surgery is quickly being recognized as a significant innovation, demonstrating the potential to change treatment paradigms for head and neck disease. State-of-the-art robotics enables surgeons to access complex anatomy using a more minimally invasive approach, with the potential to improve patient outcome and reduce surgical morbidity. Learn from international clinicians who have pioneered new paths in the application of robotic-assisted surgery. Throughout the 16 chapters of this book, the authors provide comprehensive discussion of robotic surgical procedures for diseases affecting the oropharynx, larynx, hypopharynx, parapharyngeal space, thyroid, neck, and skull base. Key Features: Fundamental training and education-from ethical considerations and room set-up-to avoiding complications and clinical pearls Ten videos on the treatment of squamous and spindle cell carcinomas 150 superb illustrations enhance the didactic text Although further innovations and refinement of this technology will be forthcoming, the current state of robotic surgery encompassed in these pages lays a foundation for today and inspiration for tomorrow's advancements. The book is an invaluable resource for surgeons and residents interested in learning about and incorporating surgical robotics into otolaryngology practice, and will also benefit medical and radiation oncologists.

State-of-the-art head and neck robotics atlas provides step-by-step anatomical guide from the robotic point of view The field of head and neck surgery is rapidly changing, with expanding indications for minimally invasive robotic techniques. While the da Vinci Surgical System is the most widely used robotic technology, this is an ever-evolving field with a growing number of other systems, including the Medrobotics Flex Robotic System that is being incorporated into surgical practice. Transoral robotic surgery (TORS) has enabled improved patient outcomes, decreased morbidity, and shorter recovery periods. It has been used primarily for neoplasms located in the upper aerodigestive tract. Robotic Head and Neck Surgery: An Anatomical and Surgical Atlas is a splendidly illustrated anatomical guide on current and emerging procedures from David Goldenberg and Neerav Goyal. It fills a gap in available resources and offers surgical pearls from prominent head and neck surgeons who have pioneered and mastered robotic techniques. The atlas reflects expanding indications for head and neck robotics including midline glossectomy for obstructive sleep apnea, nasopharyngeal surgery, laryngectomy, transaxillary parathyroidectomy, facelift thyroidectomy, and robot-assisted neck dissection. Key Features Nine visually-rich chapters provide concise yet detailed procedural guidance including key landmarks, vascular and nervous structures, background, indications, surgical anatomy, step-by-step diagrams, and radiologic imaging Exquisite anatomical illustrations by Tess Marhofer and stunning cadaveric dissections provide the ability to see detailed anatomy from the robot's perspective Spiral-bound paperback formatting enables easy-to-read, real-time surgical guidance while operating the robotic console Videos with cadaveric and live patient dissections provide additional endoscopic insights This resource is a must-have for otolaryngology residents and fellows new to operating a robotic console. It is also an essential console-side reference for experienced surgeons who wish to incorporate surgical robots into their practice paradigm.

Robotic Surgery in Otolaryngology, Head & Neck Surgery demonstrates the advantages of robotic surgery, providing guidance on accessing parts of the head and neck which are difficult to visualise, and are manually inaccessible to the surgeon. The book is divided into thirteen chapters across four sections. The first section covers transoral robotic surgery (TORS), a procedure to remove oral cancers whereby a surgeon uses a sophisticated, computer-enhanced system to guide the surgical tools (mayoclinic.org). The second section provides information on robotic thyroid surgery. The third section covers head and neck reconstruction using TORS and the final section discusses forms of robotic surgery currently in development. Robotic Surgery in Otolaryngology, Head & Neck Surgery is a forward-thinking book, written by leading practitioners and edited by US based specialist Nilesh R Vasan from the University of Oklahoma Health Sciences Centre. With nearly 200 full colour images and illustrations, including many diagrams, this is an invaluable guide to current and future technologies in robotic surgery for otolaryngologists, and head and neck surgeons. Key Points Guide to robotic surgery in head and neck surgery Describes robotic procedures currently in development Nearly 200 full colour images and illustrations Edited by US-based specialist Nilesh R Vasan at the University of Oklahoma Health Sciences Centre

State-of-the-art head and neck robotics atlas provides step-by-step anatomical guide from the robotic point of view The field of head and neck surgery is rapidly changing, with expanding indications for minimally invasive robotic techniques. While the da Vinci Surgical System is the most widely used robotic technology, this is an ever-evolving field with a growing number of other systems, including the Medrobotics Flex Robotic System that is being incorporated into surgical practice. Transoral robotic surgery (TORS) has enabled improved patient outcomes, decreased morbidity, and shorter recovery periods. It has been used primarily for neoplasms located in the upper aerodigestive tract. Robotic Head and Neck Surgery: An Anatomical and Surgical Atlas is a splendidly illustrated anatomical guide on current and emerging procedures from David Goldenberg and Neerav Goyal. It fills a gap in available resources and offers surgical pearls from prominent head and neck surgeons who have pioneered and mastered robotic techniques. The atlas reflects expanding indications for head and neck robotics including midline glossectomy for obstructive sleep apnea, nasopharyngeal surgery, laryngectomy, transaxillary parathyroidectomy, facelift thyroidectomy, and robot-assisted neck dissection. Key Features Nine visually-rich chapters provide concise yet detailed procedural guidance including key landmarks, vascular and nervous structures, background, indications, surgical anatomy, step-by-step diagrams, and radiologic imaging Exquisite anatomical illustrations by Tess Marhofer and stunning cadaveric dissections provide the ability to see detailed anatomy from the robot's perspective Spiral-bound paperback formatting enables easy-to-read, real-time surgical guidance while operating the robotic console Videos with cadaveric and live patient dissections provide additional endoscopic insights This resource is a must-have for otolaryngology residents and fellows new to operating a robotic console. It is also an essential console-side reference for experienced surgeons who wish to incorporate surgical robots into their practice paradigm.

This atlas offers precise, step-by-step descriptions of robotic surgical techniques in the fields of otolaryngology and head and neck surgery, with the aim of providing surgeons with a comprehensive guide. The coverage encompasses all current indications and the full range of robotic surgical approaches, including transoral, transaxillary, transmaxillary, and transcervical. Key clinical and technical issues and important aspects of surgical anatomy are highlighted, and advice is provided on ancillary topics such as postoperative care and robotic reconstructive surgery. Robotic surgery has proved a significant addition to the armamentarium of tools in otolaryngology and head and neck surgery. It is now used in many centers as the workhorse for resection of oropharyngeal and laryngeal tumors, thyroid surgery, and base of tongue resection in patients with obstructive sleep apnea. The da Vinci robotic system, with its three-dimensional vision system, is also excellent for parapharyngeal, nasopharyngeal, and skull base resections. This superbly illustrated book, with accompanying online videos, will be ideal for residents in otolaryngology–head and neck surgery and skull base surgery who are working in a robotic cadaver lab and for specialists seeking to further improve their dissection techniques.

Even the very concept of Robotic Surgery is changing. We are developing Computer Assisted Robotic Surgical Systems (CASS) and certainly, at some point, some steps will begin to be automated with a direct intervention of the machine on the patient. This will depend basically on warranties that patient safety is preserved. We are still not there (but on the path).Training is paramount. We conducted our first dissection course on Robotic Surgery in February 2015. Given the accelerated pace of the technical and surgical evolution the need for updates is constant.We are confident that the present text will be useful as a guide for experimental training in Robotic Surgery. We have included all the basic contents of the regular training path (including an extensive discussion on how to drive the da Vinci robotic surgery system), as well as the two current main applications in the head and neck: TransOral Robotic Surgery (TORS) and Remote Access to the neck (robotic thyroidectomy and beyond). Head and Neck Surgeons interested in Robotic Surgery might find valuable tips and practical information. But also, for those who just want to know what is all this about and what the current situation is, we have tried to transmit a plain and honest view coming directly from the original authors from whom we have learnt.Summary.1. Materials. 1.1. Computer Assisted Surgical Systems (CASS). 1.2. da Vinci robotic surgery system. 1.2.1. Driving the da Vinci. 1.2.2. Further resources for the da Vinci. 1.3. Medrobotics Flex. 1.4. Mouth-gags and Retractors. 1.4.1. Transoral. 1.4.2. Remote Access to the neck. 1.5. Other gadgets. 2. Training in non-biologic models. 2.1. Inert models. 2.2. Virtual training. 3. Dissection in animal model. 3.1. Laparoscopic approach. 3.2. Transoral approach. 3.2.1. Soft palate resection. 3.2.2. Base of the tongue resection. 3.2.3. Supraglottic laryngectomy. 3.2.4. Total laryngectomy. 4. Dissection in human specimen. 4.1. Transoral approach (TORS). 4.1.1. Lateral oropharyngectomy (radical tonsillectomy). 4.1.2. Resection of the base of the tongue. 4.1.3. Supraglottic laryngectomy. 4.1.4. Transoral total laryngectomy. 4.1.5. Transoral robotic surgery of the nasopharynx and anterior cranial base. 4.2. Remote access to the neck. 4.2.1. Bilateral axillo-breast approach. 4.2.2. Transaxillary approach. 4.2.3. Retroauricular (facelift) approach. 4.2.4. Transoral/transvestibular approach.