ArticleOral oncology2017
Complications following transoral robotic surgery (TORS): A detailed institutional review of complications.
Article in Oral oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A Meta-analysis of Functional Outcomes and Recovery Metrics Comparing Transoral Robotic Surgery and (Chemo)Radiotherapy.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026Pooled it
- A systematic review on Transoral robotic surgery (TORS) for carcinoma of unknown primary origin: Has tongue base mucosectomy become indispensable?Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2020Pooled it
- Impact of Neoadjuvant Durvalumab with or without Tremelimumab on CD8Clinical cancer research : an official journal of the American Association for Cancer Research · 2020Trial
- Transoral Robotic Surgery (TORS) for Head and Neck Cancer in the Elderly Population: Functional Outcomes, Survival, and Complications.Head & neck · 2026Article
- Preventing bleeding and surgical complications in transoral robotic surgery for the oropharynx: results of a global survey.Frontiers in oncology · 2026Article
- Robotic infraclavicular approach for minimally invasive neck dissection: an evaluation of safety, oncologic efficacy, and learning curve dynamics in head and neck cancer surgery.Frontiers in oncology · 2026Article
- Autonomous Closed-Loop Control for Robotic Soft Tissue Electrosurgery Using RGB-D Image Guidance.IEEE transactions on medical robotics and bionics · 2025Article
- Initial Direct Laryngoscopy Versus TORS Alone for Unknown Primary HPV+ Oropharyngeal Squamous Cell Carcinoma.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025Article
- Trans-Oral Robotic Surgery (TORS) and Postoperative Hemorrhage: An Analysis of Risk Factors.Journal of personalized medicine · 2025Article
- Consensus regarding transoral robotic surgery (TORS) complications for use in a proposed standardised consent form.Journal of robotic surgery · 2025Article
- Precision and Pitfalls: A Prospective Study Analysing the Immediate Postoperative Sequelae and Oncological Outcome of TORS When Used in Diagnostic Algorithm of Carcinoma Unknown Primary.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025Article
- The Role of TORS in the Management of Benign Pathology of the Base of Tongue: A Systematic Review.Diagnostics (Basel, Switzerland) · 2024Review
- The influence of perioperative enoxaparin on bleeding after TORS oropharyngectomy.Journal of robotic surgery · 2024Article
- Oncological and functional outcomes for transoral robotic surgery following previous radiation treatment for upper aerodigestive tract head and neck cancers. A French multicenter GETTEC group study.Cancer medicine · 2024Observational
- [Research progress on the treatment improvement of HPV-associated oropharyngeal cancer].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2023Review
- Transoral Robotic Excision of Paediatric Lingual Thyroglossal Duct Cyst.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023Article
- Current Approaches to Salvage Surgery for Head and Neck Cancer: A Comprehensive Review.Cancers · 2023Review
- Practice patterns in transoral robotic surgery: results of an American head and neck society survey.Journal of robotic surgery · 2023Article
- Feasibility and safety of the da Vinci Xi surgical robot for transoral robotic surgery.Journal of robotic surgery · 2023Article
- Oromaxillofacial Surgery: Both a Treatment and a Possible Cause of Obstructive Sleep Apnea-A Narrative Review.Life (Basel, Switzerland) · 2023Review
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Authors and funding
8 authors.
Funding
Abstract
objectivesTo report the complications occurring following TORS and to identify the factors predictive of complications.
methodsFollowing IRB approval a retrospective analysis of all TORS operations at our institution was performed. Postoperative complications within 45days 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.
results122 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, 10second 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 60years old (p=0.017), and 2.5 times greater when there were more than 2 subsites resected (p=0.022).
conclusionsAge over 60years and a larger extent of resection were the significant factors predictive of major complications.
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