TY - JOUR
T1 - Expert perspectives for transoral robotic versus laser surgery for supraglottic carcinomas
AU - Loubieres, Charlotte
AU - Hans, Stéphane
AU - Lechien, Jerome R.
AU - Ansarin, Mohssen
AU - Atallah, Sarah
AU - Barbut, Jonathan
AU - Bizeau, Alain
AU - Burkey, Brian
AU - Céruse, Philippe
AU - Choussy, Olivier
AU - Couineau, Florent
AU - De Mones del Pujol, Erwan
AU - Dolivet, Gilles
AU - Fakhry, Nicolas
AU - Garrel, Renaud
AU - Giger, Roland
AU - Golusiński, Wojciech
AU - Gorphe, Philippe
AU - Lorentz, Clémence
AU - Malard, Olivier
AU - Meccariello, Giuseppe
AU - Morinière, Sylvain
AU - Pellini, Raul
AU - Saroul, Nicolas
AU - Tagliabue, Marta
AU - Vergez, Sebastien
AU - Vilaseca, Isabel
AU - Villeneuve, Alexandre
AU - Baudouin, Robin
N1 - Publisher Copyright:
© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024.
PY - 2025/2/1
Y1 - 2025/2/1
N2 - Objective: To assess the opinion, practices, and challenges of international key opinion leaders about two minimal invasive surgical techniques in supraglottic laryngeal tumours: transoral laser microsurgery (TLM) and the transoral robotic surgery (TORS). Methods: Design of a questionnaire composed of seven sections and fifty questions covering descriptive data of participants, practitioners experience procedural sequences, considerations related to airways, feeding, and voice, intraoperative haemorrhage, postoperative management, and a comparative analysis of TLM and TORS in treating supraglottic laryngeal cancer. Results: A total of 27 head and neck surgeons replied to the survey. The experts had an average experience in laryngeal surgery of 20.0 ± 9.4 years, ranging from 5 to 36 years. We noted a significantly shorter installation time in TLM compared to TORS (19% of experts estimated the installation time of over 20 min with TLM vs 44% with TORS; p = 0.02). According to complications, the experts considered that bleeding was the major concern with supraglottic laryngeal surgery, especially intraoperative bleeding in TLM (52% in TLM vs 26% in TORS) (p = 0.09) and postoperative bleeding in TORS (56% in TORS vs 44% in TLM). Conclusion: The experts did not identify a clear superiority of one technology (TLM) over the other (TORS). The two techniques seemed equivalent to the experts, except for the control of intraoperative haemostasis and visualisation of the surgical field, where TORS was perceived as superior to TLM.
AB - Objective: To assess the opinion, practices, and challenges of international key opinion leaders about two minimal invasive surgical techniques in supraglottic laryngeal tumours: transoral laser microsurgery (TLM) and the transoral robotic surgery (TORS). Methods: Design of a questionnaire composed of seven sections and fifty questions covering descriptive data of participants, practitioners experience procedural sequences, considerations related to airways, feeding, and voice, intraoperative haemorrhage, postoperative management, and a comparative analysis of TLM and TORS in treating supraglottic laryngeal cancer. Results: A total of 27 head and neck surgeons replied to the survey. The experts had an average experience in laryngeal surgery of 20.0 ± 9.4 years, ranging from 5 to 36 years. We noted a significantly shorter installation time in TLM compared to TORS (19% of experts estimated the installation time of over 20 min with TLM vs 44% with TORS; p = 0.02). According to complications, the experts considered that bleeding was the major concern with supraglottic laryngeal surgery, especially intraoperative bleeding in TLM (52% in TLM vs 26% in TORS) (p = 0.09) and postoperative bleeding in TORS (56% in TORS vs 44% in TLM). Conclusion: The experts did not identify a clear superiority of one technology (TLM) over the other (TORS). The two techniques seemed equivalent to the experts, except for the control of intraoperative haemostasis and visualisation of the surgical field, where TORS was perceived as superior to TLM.
KW - Carcinomas
KW - Endoscopic surgery
KW - Head and neck
KW - Laryngeal cancer
KW - Laser CO
KW - Minimally invasive surgery
KW - Otolaryngology
KW - Supraglottic laryngectomy
KW - Survey
KW - Transoral Laryngeal microsurgery
KW - Transoral Robotic surgery
UR - http://www.scopus.com/inward/record.url?scp=85210497786&partnerID=8YFLogxK
U2 - 10.1007/s00405-024-09070-5
DO - 10.1007/s00405-024-09070-5
M3 - Article
C2 - 39604555
AN - SCOPUS:85210497786
SN - 0937-4477
VL - 282
SP - 907
EP - 917
JO - European Archives of Oto-Rhino-Laryngology
JF - European Archives of Oto-Rhino-Laryngology
IS - 2
M1 - 104848
ER -