Submandibular gland resection via the trans-hairline approach: A preclinical study of a novel flexible single-port surgical system and the surgical experiences of standard multiarm robotic surgical systems

Tsung Lin Yang; Hong Li; Floyd Christopher Holsinger; Yoon Woo Koh

doi:10.1002/hed.25692

Submandibular gland resection via the trans-hairline approach: A preclinical study of a novel flexible single-port surgical system and the surgical experiences of standard multiarm robotic surgical systems

Tsung Lin Yang, Hong Li, Floyd Christopher Holsinger, Yoon Woo Koh

Department of Otorhinolaryngology

Research output: Contribution to journal › Article › peer-review

6 Citations (Scopus)

Abstract

Background: Cosmetic outcome after submandibular gland (SMG) surgery has greatly improved since the development of robotic surgery through a trans-hairline approach. However, the bulky sizes of robotic arms and the rigid design of camera and instruments in the current multiarm robotic systems increased the surgical difficulty. Methods: Clinical and preclinical studies demonstrated the surgical configuration and procedures of robotic trans-hairline SMG resection using a flexible, single-port, and multiarm systems. Results: The surgical procedures of trans-hairline approach for SMG resection could be successfully performed using the flexible single-port (SP) robotic system in the preclinical study. The unique features include an easier docking procedure, different viewing angles, the use of the third arm, and coordination of instrument positions without a bedside assistant, which are unavailable in current multiarm robotic systems. Conclusions: This study demonstrates the feasibility and the advantages of applying the flexible, SP robotic system in SMG resection through the trans-hairline approach.

Original language	English
Pages (from-to)	2231-2238
Number of pages	8
Journal	Head and Neck
Volume	41
Issue number	7
DOIs	https://doi.org/10.1002/hed.25692
Publication status	Published - 2019 Jul

Bibliographical note

Funding Information:
The authors thank the Ministry of Science and Technology and the National Taiwan University Hospital, and the staff of the Eighth Core Lab, Department of Medical Research, the National Taiwan University for their support. The authors also thank Paul Lilagan, MSE, Michael Ikeda, BS, Christie Draper, PhD, the da Vinci SP Engineering Team, and the Intuitive Surgical Inc. (Sunnyvale, CA) for providing access to the da Vinci SP robotic surgical system and laboratory.

Publisher Copyright:
© 2019 Wiley Periodicals, Inc.

All Science Journal Classification (ASJC) codes

Otorhinolaryngology

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title = "Submandibular gland resection via the trans-hairline approach: A preclinical study of a novel flexible single-port surgical system and the surgical experiences of standard multiarm robotic surgical systems",

abstract = "Background: Cosmetic outcome after submandibular gland (SMG) surgery has greatly improved since the development of robotic surgery through a trans-hairline approach. However, the bulky sizes of robotic arms and the rigid design of camera and instruments in the current multiarm robotic systems increased the surgical difficulty. Methods: Clinical and preclinical studies demonstrated the surgical configuration and procedures of robotic trans-hairline SMG resection using a flexible, single-port, and multiarm systems. Results: The surgical procedures of trans-hairline approach for SMG resection could be successfully performed using the flexible single-port (SP) robotic system in the preclinical study. The unique features include an easier docking procedure, different viewing angles, the use of the third arm, and coordination of instrument positions without a bedside assistant, which are unavailable in current multiarm robotic systems. Conclusions: This study demonstrates the feasibility and the advantages of applying the flexible, SP robotic system in SMG resection through the trans-hairline approach.",

author = "Yang, {Tsung Lin} and Hong Li and Holsinger, {Floyd Christopher} and Koh, {Yoon Woo}",

note = "Funding Information: The authors thank the Ministry of Science and Technology and the National Taiwan University Hospital, and the staff of the Eighth Core Lab, Department of Medical Research, the National Taiwan University for their support. The authors also thank Paul Lilagan, MSE, Michael Ikeda, BS, Christie Draper, PhD, the da Vinci SP Engineering Team, and the Intuitive Surgical Inc. (Sunnyvale, CA) for providing access to the da Vinci SP robotic surgical system and laboratory. Publisher Copyright: {\textcopyright} 2019 Wiley Periodicals, Inc.",

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Submandibular gland resection via the trans-hairline approach: A preclinical study of a novel flexible single-port surgical system and the surgical experiences of standard multiarm robotic surgical systems. / Yang, Tsung Lin; Li, Hong; Holsinger, Floyd Christopher et al.
In: Head and Neck, Vol. 41, No. 7, 07.2019, p. 2231-2238.

Research output: Contribution to journal › Article › peer-review

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AU - Holsinger, Floyd Christopher

AU - Koh, Yoon Woo

N1 - Funding Information: The authors thank the Ministry of Science and Technology and the National Taiwan University Hospital, and the staff of the Eighth Core Lab, Department of Medical Research, the National Taiwan University for their support. The authors also thank Paul Lilagan, MSE, Michael Ikeda, BS, Christie Draper, PhD, the da Vinci SP Engineering Team, and the Intuitive Surgical Inc. (Sunnyvale, CA) for providing access to the da Vinci SP robotic surgical system and laboratory. Publisher Copyright: © 2019 Wiley Periodicals, Inc.

PY - 2019/7

Y1 - 2019/7

N2 - Background: Cosmetic outcome after submandibular gland (SMG) surgery has greatly improved since the development of robotic surgery through a trans-hairline approach. However, the bulky sizes of robotic arms and the rigid design of camera and instruments in the current multiarm robotic systems increased the surgical difficulty. Methods: Clinical and preclinical studies demonstrated the surgical configuration and procedures of robotic trans-hairline SMG resection using a flexible, single-port, and multiarm systems. Results: The surgical procedures of trans-hairline approach for SMG resection could be successfully performed using the flexible single-port (SP) robotic system in the preclinical study. The unique features include an easier docking procedure, different viewing angles, the use of the third arm, and coordination of instrument positions without a bedside assistant, which are unavailable in current multiarm robotic systems. Conclusions: This study demonstrates the feasibility and the advantages of applying the flexible, SP robotic system in SMG resection through the trans-hairline approach.

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Submandibular gland resection via the trans-hairline approach: A preclinical study of a novel flexible single-port surgical system and the surgical experiences of standard multiarm robotic surgical systems

Abstract

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