Robotic Surgery
摘要
Transoral robotic surgery (TORS) has revolutionised endoscopic approaches to head and neck surgery, replacing previous significant morbid transcervical and transfacial surgical access approaches. By harnessing the natural opening of the mouth, TORS facilitates natural orifice transluminal endoscopic surgery (NOTES). TORS offers several technological advances to standard transoral approaches, including improved magnified three-dimensional visualisation allowing angled sight lines, tremor-free wristed instrumentation with 7° of freedom, a rapid learning curve in comparison to transoral laser techniques and the ability to perform an en bloc compartmental resection and thereby more confident margin assessment.