Robotic and endoscopic trans-oral total laryngectomy, a systematic review and meta-analysis.

Parker Tumlin, Bradford Dugan, Samantha Hassid, Georges Lawson, Meghan Turner

Abstract readMeta-AnalysisSystematic Review

In one paragraph

Synthesis in Journal of robotic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it

0cells of the map it votes in

1citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

Feasibility of Transoral Robotic Total Laryngectomy With the Da Vinci Single Port Robotic System.Laryngoscope investigative otolaryngology · 2026
Article

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Parker TumlinDepartment of Otolaryngology, West Virginia University, One Medical Center Dr, Morgantown, WV, 26508, USA. pht00002@hsc.wvu.edu.ORCID http://orcid.org/0000-0001-5601-3618

Bradford DuganDepartment of Otolaryngology, West Virginia University, One Medical Center Dr, Morgantown, WV, 26508, USA.

Samantha HassidUniversité Catholique de Louvain, Centre Hospitalier Universitaire de Mont-Godinne, Yvoir, Belgium.

Georges LawsonUniversité Catholique de Louvain, Centre Hospitalier Universitaire de Mont-Godinne, Yvoir, Belgium.

Meghan TurnerDepartment of Otolaryngology, West Virginia University, One Medical Center Dr, Morgantown, WV, 26508, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Trans-oral total laryngectomy (TOTL) is a novel minimally invasive approach to narrow-field laryngectomy. The objective of this study was to review published data on robotic and endoscopic-assisted TOTL to examine oncologic, functional, and adverse outcomes. MEDLINE, Web of Science, and Cochrane databases were searched between January 2009 and December 2023. PRISMA guidelines were used for data abstraction independently by two reviewers. Proportional meta-analysis (random effects model) was used for analysis. Main outcomes included oncologic outcomes (margin status, recurrence rate) and surgical complications (fistula, hemorrhage, need for second operation). Eight studies were included (total of 37 patients). Cases included 31 robotic-assisted, 3 endoscopic-assisted, and 3 robotic cases which required conversion to open approach. Most cases were performed for laryngeal SCC (22 patients, 59.5%). Primary closure was achieved in all patients. Negative margins were achieved in 20 of 21 patients with LSCC. Recurrence data was reported in 20 LSCC patients with disease recurrence in 4 patients (20%). Follow-up was described for 15 patients (mean of 3.5 years, range 1.6-5.8 years). Eleven complications occurred including fistula, bleed, and stomal stenosis with a pooled rate of 33.7% (95% CI: 16.4-53.0%, I

Indexed as

Laryngeal NeoplasmsLaryngectomyRobotic Surgical ProceduresFemaleHumansMaleNeoplasm Recurrence, LocalPostoperative ComplicationsTreatment OutcomeEndoscopicMinimally invasiveRoboticTotal laryngectomyTransoral

Identifiers

PMID38758418

DOI10.1007/s11701-024-01970-2

What OpenQuestion holds

Textmetadata

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.