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This study highlights the potential of a well-managed robotic surgery program as a viable alternative to conventional surgical approaches. Effective coordination and resource utilization contribute to the program’s efficiency. The findings underscore the successful integration of robotic-assisted surgery in diverse surgical specialties. Sanchez-Encinas M, Rey-Biel J, Alias D, Noguero-Meseguer R, Granell J, Muguruza I, HerreroContinue reading “Performance of a Multidisciplinary Robotic Surgery Program”

We had the opportunity to test for simulation the new Versius Robotic Surgery System from Cambridge Medical Robotics (CMR) at the department of Otorhinolaryngology of Hospital Universitario Rey Juan Carlos (HURJC) in Mostoles, Madrid. We squeezed every second of it. Do you want to to know our impressions? Already published. https://pubmed.ncbi.nlm.nih.gov/37610537/. Granell J, Ramirez-Rosa A,Continue reading “Feasibility of the set-up for the different approaches in robotic head and neck surgery with the Versius Surgical System”

To fully understand the contributions of soft-tissue robotic surgery it is critical to first grasp the concept of minimal access surgery. We must go back to Hippocrates, to the very basic ethical principles of Medicine. Primum non nocere. First, do no harm. It is the maxim of medical practice. It is also relevant to recallContinue reading “On minimal access surgery”

The common justification for performing a total laryngectomy is a T4a (TNM 8th edition) laryngeal cancer, where the tumor has infiltrated through the thyroid cartilage and involved the pre-laryngeal muscles, necessitating its removal in the oncologic resection. The procedure also mandates a bilateral neck dissection. Given the nature of this surgery an open approach isContinue reading “Transoral Robotic Total Laryngectomy”

The lingual artery represents a main concern in transoral surgery on the base of the tongue. There is a significant body of literature focusing on its management, including its management in TORS (refer to the list of references bellow). Successful handling of this critical aspect requires a comprehensive understanding of the anatomy and relevant anatomicalContinue reading “Lingual artery (dissection)”

I am deeply honoured to have been elected as a member of the Executive Committee of the Asia-Pacific Society of Thyroid Surgery (APTS) for the next three years (2023-2026). I hope to go on contributing to the development of this area of expertise from this part of the world where cutting edge innovations are takingContinue reading “Asia-Pacific Society of Thyroid Surgery”

“Yo, q llevo muchos cursos ya… creo que nunca aprendí más en menos tiempo. Un lujo. A mí me ha impactado!!” Comentarios así de cirujanos expertos son el mejor estímulo para seguir un año más a pesar del inmenso esfuerzo. Gracias a todos lo que habeis hecho posible la 12ed. del Curso de Iniciación aContinue reading “12 ed. da Vinci Robotic Surgery”

Previous. Conventional open surgery Instead of engaging in discussions, it is preferable to focus on implementing minimal approach surgery. Let us review the facts. The patient underwent a single stage transoral robotic (TORS) Radical Tonsillectomy (lateral oropharyngectomy) along with left neck dissection. The da Vinci Robotic Surgery Xi system was used and optimal transoral exposureContinue reading “Head and Neck Cancer Committee (Oropharynx 4/4). Minimal Access Surgery.”

Previous. Chemo-radiation. In some departments of certain hospitals where minimal approach surgery is not commonly practised, a traditional surgical approach known as the open trans-mandibular approach is typically offered. This method involves splitting the lip and the mandible along the midline and opening them to gain access to the oropharynx through the floor of theContinue reading “Head and Neck Cancer Committee (Oropharynx 3/4). Conventional Open Surgery.”

Previous. Case presentation. In many hospital settings, chemo-radiation is often the preferred treatment choice for cases like this. The tumour is classified as T3 (large size, locally advanced). There is a massive lymph node with presumably extra-nodal extension (ENE), possibly requiring a radical neck dissection if surgery is offered. Any case, chemo-radiation is likely toContinue reading “Head and Neck Cancer Committee (Oropharynx 2/4). Chemo-radiation.”