Sažetak sa skupa
Robotic surgery in otorhinolaryngology – our experience
Boris Bumber
orcid.org/0000-0003-1101-606X
; KBC Zagreb, Kišpatićeva 12, 10000 Zagreb, Hrvatska
Stjepan Frkanec
orcid.org/0000-0003-2309-3783
; KBC Zagreb, Kišpatićeva 12, 10000 Zagreb, Hrvatska
Drago Prgomet
; KBC Zagreb, Kišpatićeva 12, 10000 Zagreb, Hrvatska
Sažetak
Robotic surgery is an advanced technique that has significantly improved minimally invasive surgical
procedures in the head and neck area. The development of robotic surgical systems began in the 1980s as part
of a military research with the aim of developing a system for performing surgical procedures remotely. The
first significant step in the application of robotics in head and neck surgery was made in 2005, when McLeod
and Melder successfully used the Da Vinci robotic system for the resection of a vallecular cyst. The transoral
robotic approach (TORS) was officially approved by the FDA in 2009 for the treatment of early-stage
oropharyngeal carcinoma. Since then, indications have expanded rapidly, including tumors of the
hypopharynx, parapharyngeal space, and supraglottis, as well as surgery of the thyroid and parathyroid glands.
The Da Vinci system stands out as the most versatile system with advanced visualization and exceptional
precision. The Da Vinci robotic system provides key advantages: three-dimensional visualization with highresolution 3D display, precise bimanual instrumentation with the wrist, tremor filtration with the automatic
removal of unwanted movements, movement scaling for microsurgical interventions, and individual camera
control. These innovations allow the surgeon to overcome the limitations of conventional endoscopic surgery,
including wrist-free instrumentation and two-dimensional visualization. The robotic system is most often used
for a transoral robotic approach (TORS) in the treatment of oropharyngeal tumors, tongue base tumor resection
and surgical treatment of obstructive apneas. In thyroid surgery, a transaxillary approach (RATS) and transoral
approach (TORT) are used. KBC Zagreb introduced robotic surgery in otorhinolaryngology as a pioneering
institution in the region. During the lecture, we will present a series of cases representing the first robotic
procedures performed through a transoral approach at KBC Zagreb, demonstrating the technical aspects,
indications, perioperative course and results. Robotic surgery in otolaryngology represents a significant
advance in the treatment of patients with head and neck diseases, enabling precise, safe, and minimally invasive
treatment of complex conditions with better functional and aesthetic results.
Ključne riječi
transoral robotic surgery; obstructive apnea; Da Vinci
Hrčak ID:
336284
URI
Datum izdavanja:
10.11.2025.
Posjeta: 137 *