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Transoral supraglottic and tongue base surgery: da Vinci® robot versus CO2 laser surgery

Epublication WebSurg.com, Jul 2014;14(07). URL: http://websurg.com/doi/lt03enschultz001

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  • 2014-07-01
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Introduction To date, the gold standard for transoral tongue base and supraglottic surgery is the CO2 laser. The Da Vinci robot has been tested for transoral surgery since 2006. Is the Da Vinci robot an alternative or will it replace the CO2 laser for these surgical procedures? Methods The advantages and drawbacks of all approaches (i.e. external approach, transoral approach) with the CO2 laser and the Da Vinci robot are reviewed. Results The external approach still has an interest for massive pre-epiglottic space invasion. For small tumors, the CO2 laser presents an advantage as compared to the Da Vinci robot as it causes less thermal damage. For large tumors, the quality of exposure provided by the Da Vinci robot as compared to the scope of the CO2 laser improves quality and makes tumor resection easier. Conclusion The Da Vinci robot has been largely developed over these last years and therefore will replace the CO2 laser for some surgical procedures.