Transoral Robotic Surgery in the Nordic Countries: Current Status and Perspectives

Frontiers in Oncology

卷:8

Oddveig Rikardsen¹  Christian von Buchwald²  Hani Ibrahim Channir²  Niclas Rubek²  Thomas Kjærgaard³  Christian Godballe⁴  Petri Koivunen⁵  Johan S. Nilsson⁶  Peter Wahlberg⁶  Lennart Greiff⁶  Lena Norberg Spaak⁷  Harri Keski-Säntti⁸  Mari Markkanen-Leppänen⁸  Leif Bäck⁸  Mathias von Beckerath⁹  Göran Laurell¹⁰  Karl Sandström¹⁰  Tomas Ekberg¹⁰  Antti A. Mäkitie¹¹ 

[1] 0Department of Otorhinolaryngology – Head and Neck Surgery, University Hospital North Norway, Tromsoe, Norway;

[2] 1Department of Otorhinolaryngology, Head and Neck Surgery and Audiology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark;

[3] Department of Otorhinolaryngology – Head and Neck Surgery, Aarhus University Hospital, Aarhus, Denmark;

[4] Department of Otorhinolaryngology – Head and Neck Surgery, Odense University Hospital, Odense, Denmark;

[5] Department of Otorhinolaryngology – Head and Neck Surgery, Oulu University Hospital, Oulu, Finland;

[6] Department of Otorhinolaryngology – Head and Neck Surgery, Skåne University Hospital, Lund, Sweden;

[7] Department of Otorhinolaryngology – Head and Neck Surgery, Umeå University Hospital, Umeå, Sweden;

[8] Department of Otorhinolaryngology – Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland;

[9] Department of Otorhinolaryngology – Head and Neck Surgery, Örebro University Hospital, Örebro, Sweden;

[10] Department of Surgical Sciences, Uppsala University, Uppsala, Sweden;

[11] Division of Ear, Nose and Throat Diseases, Department of Clinical Sciences, Intervention and Technology, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden;

关键词: head and neck;    surgery;    management;    centralization;    cancer;   

DOI  :  10.3389/fonc.2018.00289

来源: DOAJ

【 摘 要 】

Background: The five Nordic countries with a population of 27 M people form a rather homogenous region in terms of health care. The management of head and neck cancer is centralized to the 21 university hospitals in these countries. Our aim was to gain an overview of the volume and role of transoral robotic surgery (TORS) and to evaluate the need to centralize it in this area as the field is rapidly developing.Materials and Methods: A structured questionnaire was sent to all 10 Departments of Otorhinolaryngology—Head and Neck Surgery in the Nordic countries having an active programme for TORS in December 2017.Results: The total cumulative number of performed robotic surgeries at these 10 Nordic centers was 528 and varied between 5 and 240 per center. The median annual number of robotic surgeries was 38 (range, 5–60). The observed number of annually operated cases remained fairly low (<25) at most of the centers.Conclusions: The present results showing a limited volume of performed surgeries call for considerations to further centralize TORS in the Nordic countries.

【 授权许可】

Unknown