Evidence map›Paper›PMID 42018824›Full record

Observational studyEinstein (Sao Paulo, Brazil)2026

Feasibility, outcomes, and cost analysis of robotic head and neck surgery in the Public Health System.

Marco Aurélio Vamondes Kulcsar, Christiana Maria Ribeiro Salles Vanni, Leandro Luongo de Matos, Lenine Garcia Brandão, Luiz Paulo Kowalski, Claudio Roberto Cernea, Dhara Giovanna Santin de Souza

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Einstein (Sao Paulo, Brazil), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Marco Aurélio Vamondes KulcsarDepartment of Head and Neck Surgery, Instituto do Câncer do Estado de São Paulo, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-4751-0476
Christiana Maria Ribeiro Salles VanniDepartment of Head and Neck Surgery, Instituto do Câncer do Estado de São Paulo, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0003-1867-3492
Leandro Luongo de MatosDepartment of Head and Neck Surgery, Instituto do Câncer do Estado de São Paulo, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-5068-8208
Lenine Garcia BrandãoDepartment of Head and Neck Surgery, Instituto do Câncer do Estado de São Paulo, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-5233-2849
Luiz Paulo KowalskiDepartment of Head and Neck Surgery, Instituto do Câncer do Estado de São Paulo, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-0481-156X
Claudio Roberto CerneaDepartment of Head and Neck Surgery, Instituto do Câncer do Estado de São Paulo, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-5899-0535
Dhara Giovanna Santin de SouzaDepartment of Head and Neck Surgery, Instituto do Câncer do Estado de São Paulo, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0009-0000-1373-8555

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the feasibility and benefits of transoral robotic surgery in the public healthcare system and to conduct a cost analysis of its implementation.

methodsThis prospective, nonrandomized, observational cohort study was conducted over 24 months and included patients with T1-T2 oropharyngeal and supraglottic laryngeal tumors.

resultsThirty patients were included. The mean surgery duration was 204 min, and the mean hospital stay was 2.1 days. Postoperative complications included one case of bleeding and one case of aspiration. The estimated 5-year survival rate was 77%. Cost analysis revealed a higher initial cost for robotic surgery compared with conventional approaches; however, reduced postoperative complications mitigated the overall expenses.

conclusionTransoral robotic surgery is a feasible and safe option within the public healthcare system. It enables highly complex procedures with faster postoperative recovery, lower morbidity, and survival outcomes comparable to conventional approaches.

Indexed as

Head and Neck NeoplasmsLaryngeal NeoplasmsOropharyngeal NeoplasmsRobotic Surgical ProceduresAdultAgedCost-Benefit AnalysisCosts and Cost AnalysisFeasibility StudiesFemaleHumansLength of StayMaleMiddle AgedOperative TimePostoperative Complications

Identifiers

PMID42018824
PMCPMC13128234

What OpenQuestion holds

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LicenceCC BY
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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.