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

• Published in: Head & neck Vol. 41; no. 7; pp. 2231 - 2238
• Main Authors: Yang, Tsung‐Lin, Li, Hong, Holsinger, Floyd Christopher, Koh, Yoon Woo
• Format: Journal Article
• Language: English
• Published: Hoboken, USA John Wiley & Sons, Inc 01.07.2019; Wiley Subscription Services, Inc
• Subjects: cosmesis; Exocrine glands; Feasibility studies; flexible single‐port robotic system; Head and neck; Robotic surgery; Submandibular gland; trans‐hairline; cosmesis; submandibular gland; trans-hairline; flexible single-port robotic system; robotic surgery
• ISSN: 1043-3074; 1097-0347; 1097-0347
• DOI: 10.1002/hed.25692

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.