Transoral surgery for oropharyngeal tumors using the Medrobotics® Flex® System – a case report. (2015)

• Record Type: Journal Article
• Authors: Mandapathil, Magis; Duvvuri, Umamaheswar; Güldner, Christian; Teymoortash, Afshin; Lawson, George; Werner, Jochen A
• Is Part Of: International journal of surgery case reports. Volume 10(2015)
• Page Start: 173
• Page End: 175
• Publication Date: 2015
• Subjects: Head and neck cancer -- Robotic surgery -- Transoral surgery -- Oropharyngeal tumor; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2015.03.030
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Transoralvisualisation of pharyngeal tumors is feasible using the novel Medrobotics ® Flex ® System. Transoralresection of pharyngeal tumors with a monopolar cautery is feasible using the novel Medrobotics ® Flex ® System. The flexibility of the endoscope and instruments allow for good access and visualisation of target structures within the pharynx. Abstract: Introduction: Transoral resection of pharyngeal tumors with acceptable oncological and functional results can be challenging due to their location in a narrow anatomic space. Case presentation: In this case report, we demonstrate successful visualization and resection of a squamous cell carcinoma of the oropharynx using the novel Medrobotics ® Flex ® System. The Medrobotics ® Flex ® System (Medrobotics Corp., Raynham, MA, USA) is an operator controlled flexible endoscope system that includes a rigid endoscope and computer-assisted controllers, with two external channels for the use of compatible, 3.5 mm flexible instruments. Discussion: In a 74-year old female patient a T1 squamous cell carcinoma of the oropharynx was visualized and completely resected using this system. The Medrobotics ® Flex ® System is a promising device for transoral approaches in resection of tumors within the pharynx. Conclusion: Good visualization, access, and flexibility of the endoscope and instruments are hereby clear advantages of the system compared to commonly used systems.