Cirugía Robótica Transoral (TORS), en el manejo de lesiones neoplásicas de cabeza y cuello
Palabras clave:
Carcinoma de células escamosas, Neoplasias de cabeza y cuello, Robótica, Operaciones remotasResumen
El cáncer de cabeza y cuello es una enfermedad muy complicada cuya incidencia ha venido incrementando en la última década y está relacionada con la infección del virus del papiloma humano. La base del tratamiento es la cirugía, que debe hacerse con intervenciones extensas y mutilantes a través del cuello, son acompañadas de quimioterapia y radioterapia, dejando secuelas funcionales difíciles de manejar. Desde 2009 se aprobó el uso del robot Da Vinci® para resecar tumores de la orofaringe y supraglotis, con la cirugía robótica transoral. Las bondades de esta técnica, que inciden en la pronta recuperación del paciente, y que están derivadas de la excelente visión tridimensional y la versatilidad de movimientos del instrumental articulado (EndoWrist®), han hecho que las recomendaciones de su uso estén redefiniéndose continuamente. Este artículo resume las ventajas, las desventajas, las indicaciones de manejo actual, el cuidado posoperatorio, la rehabilitación y la terapia adyuvante de este novedoso tratamiento.
Biografía del autor/a
Enrique Cadena, Instituto Nacional de Cancerología
Grupo Cirugía de Cabeza y Cuello, Instituto Nacional de Cancerología, Bogotá D.C., Colombia
Unidad de Otorrinolaringología, cirugía de cabeza y cuello, cirugía robótica, Cirurobótica, Clínica de Marly, Bogotá D.C., Colombia
Unidad Otorrinolaringología, Universidad Nacional
Ricardo Guerra, Clínica de Marly
Unidad de Otorrinolaringología, cirugía de cabeza y cuello, cirugía robótica, Cirurobótica, Clínica de Marly, Bogotá D.C., Colombia
Unidad de Otorrinolaringología, Sesión de Laringología, Hospital Universitario Infantil de San José, Fundación Universitaria de Ciencias de la Salud, Bogotá D.C., Colombia
Carlos Pérez Mitchell, Instituto Oncológico de Cabeza y Cuello Hospital HIMA San Pablo
Instituto Oncológico de Cabeza y Cuello Hospital HIMA San Pablo, Caguas, Puerto Rico
Departamento de Otorrinolaringología, Cirugía de Cabeza y Cuello, Universidad de Puerto Rico Recinto de Ciencias Médicas, San Juan, Puerto Rico
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