Transoral robotic surgery for salivary carcinomas of the base of tongue: a multicenter REFCOR study.

Fiche publication

Date publication

avril 2025

Journal

Journal of robotic surgery

Auteurs

Membres identifiés du Cancéropôle Est :
Pr GALLET Patrice , Pr SCHULTZ Philippe

Tous les auteurs :
Poissonnet V, Chabrillac E, Segier B, Gorphe P, Wong S, Garrel R, Ferron C, Kaci R, de Monès E, Jegoux F, Schultz P, Culié D, Baudouin R, Evrard D, Goffinet M, Morinière S, Mirghani H, Righini C, Duflo S, Marie JP, Guelfucci B, Atallah S, Brenet E, Bertolus C, Ceruse P, Aubry K, Dufour X, Gallet P, Bastit V, Uro-Coste E, Vergez S

Lien Pubmed

https://www.ncbi.nlm.nih.gov/pubmed/40234274

Résumé

Transoral robotic surgery (TORS) allows minimally invasive surgical access to the oropharynx. Its benefits are well documented for squamous cell carcinomas, but not for salivary carcinomas. The aim of this study was to describe the French experience of TORS regarding salivary gland carcinomas of the base of tongue (BOT). This was a retrospective multicentric study with a national cohort. We included all patients treated surgically for a BOT salivary gland carcinoma from January 2009 to December 2018. Descriptive analyses were performed. Among the 50 patients included, radical excision was performed through an open approach (OA; n = 33) or using TORS (n = 17). T1-T2 tumors were more common in the TORS-group (76.4% vs 60.6%), and so were low-grade tumors (58.8% vs 38.7%). Surgical margins were <1mm in 46.7% of patients in the TORS-group and 52% of patients in the OA-group. After 51.7 months of follow-up, two patients (11.8%) presented with a local recurrence in the TORS-group, versus eight patients (24.2%) in the OA-group. The rate of tracheostomy was 41.2% in the TORS-group and 63.6% in the OA-group. The rate of gastrostomy was 11.8% in the TORS-group and 36.4% in the OA-group. TORS is an acceptable minimally invasive option for selected BOT salivary carcinomas. It may provide good functional and oncological outcomes in selected cases, despite a high rate of close margins.