Complications following transoral robotic surgery (TORS): A detailed institutional review of complications Journal Article
| Authors: | Hay, A.; Migliacci, J.; Karassawa Zanoni, D.; Boyle, J. O.; Singh, B.; Wong, R. J.; Patel, S. G.; Ganly, I. |
| Article Title: | Complications following transoral robotic surgery (TORS): A detailed institutional review of complications |
| Abstract: | Objectives To report the complications occurring following TORS and to identify the factors predictive of complications. Methods Following IRB approval a retrospective analysis of all TORS operations at our institution was performed. Postoperative complications within 45 days were collected and graded with the Clavien-Dindo system. Complications were categorized into groups: all complications, not related to TORS and TORS related. Unadjusted odds ratios were calculated to test association between patients with and without a complication. Results 122 TORS operations were carried out between June 2010 and August 2015. 77% were male, with a median age of 57. There were 92 primary tumor resections, 10 second head and neck primary resections, 13 salvage procedures and 7 other indications. Surgical resection involved 1, 2 or >3 sub-sites in 36%, 28% and 36% patients, respectively. Overall, there were 107 complications (66 TORS related, 41 non-TORS related) that occurred in 57 patients (47%). A major complication occurred in 23 patients (18%). 19 patients had a TORS related major complication and 6 patients experienced a non-TORS related major complication. There was a temporal trend in TORS related major complication rate decreasing from 33% in 2010 to 10% in 2015. Statistical analysis showed that the odds of having any complication were 3 times greater in patients over 60 years old (p = 0.017), and 2.5 times greater when there were more than 2 subsites resected (p = 0.022). Conclusions Age over 60 years and a larger extent of resection were the significant factors predictive of major complications. © 2017 Elsevier Ltd |
| Keywords: | postoperative care; complications; oropharyngeal cancer; trans oral robotic surgery |
| Journal Title: | Oral Oncology |
| Volume: | 67 |
| ISSN: | 1368-8375 |
| Publisher: | Elsevier Inc. |
| Date Published: | 2017-04-01 |
| Start Page: | 160 |
| End Page: | 166 |
| Language: | English |
| DOI: | 10.1016/j.oraloncology.2017.02.022 |
| PROVIDER: | scopus |
| PUBMED: | 28351571 |
| PMCID: | PMC5407467 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 3 April 2017 -- Source: Scopus |
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