Robot-assisted selective neck dissection combined with facelift parotidectomy in parotid cancer.

Abstract

BACKGROUND: Robot-assisted neck dissection in patients with head and neck cancer

has been demonstrated to be feasible. We conceived a surgical technique of

surgery for parotid cancer with the robotic system via a gasless modified

facelift (MFL) approach. A detailed surgical technique is provided. METHODS: In a

28-year-old female patient with parotid cancer, the disease was treated with

primary tumor resection with robotic selective neck dissection I to III via an

MFL incision. RESULTS: Robot-assisted selective neck dissection I to III combined

with primary tumor resection was successfully conducted without any significant

intraoperative complication, applying additional incision, or conversion to open

conventional neck dissection. Videographic demonstration of the robotic-assisted

neck dissection is included. CONCLUSION: Robot-assisted surgery via the MFL

approach is a feasible and useful method with excellent cosmetic results for the

surgical treatment in selected cases of parotid gland cancer.