BACKGROUND: The aim of this observational prospective study was to determine the technical feasibility, safety and adequacy of surgical margins for transoral robotic surgery (TORS) in @entity5 . METHODS: From March 2013 to May 2014, 60 @entity1 with oropharyngeal lesions underwent TORS with or without neck dissection using the 'DaVinci' robot. @entity1 were observed and data recorded on surgical time, @entity190 , complications and functional outcome of @entity1 . RESULTS: All 60 @entity1 underwent TORS, with neck dissection performed in 45 of the @entity1 . A positive margin was seen in two @entity1 (3.3  %). Intent to treatment was radical in 42 @entity1 and salvage in 18 @entity1 . None of the @entity1 required tracheostomy, and one @entity1 (1.66  %) died postoperatively. @entity260 in the form of primary @entity548 required active intervention in three @entity1 . Average estimated @entity190 was 26.5      31.1  ml. Postoperatively, all @entity1 had adequate swallowing and speech function with nasal twang reported in three @entity1 on long-term follow up. @entity1 started tolerating oral feeds within a week of procedure (mean 3.96  days), with the nasogastric tube removed on the ninth postoperative day (mean 9.19  days). No long-term gastrostomy tube dependency was reported. CONCLUSION: TORS is a safe, feasible, minimally invasive procedure in @entity1 with @entity5 . It has the least morbidity and offers benefits in terms of avoidance of tracheostomy tube, prolonged Ryle's tube and @entity734 .

Transoral robotic surgery in management of @entity5 : a preliminary experience at a tertiary XXXX centre in India.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity548 :: ('MESH:D006470', 'Disease') :: ['haemorrhage'] @entity5 :: ('MESH:D009369', 'Disease') :: ['oropharyngeal cancers'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity260 :: ('MESH:D011183', 'Disease') :: ['Postoperative complications'] @entity734 :: ('MESH:D019966', 'Disease') :: ['gastrostomy dependency']
@entity5 :: (MESH:D009369,Disease) :: ['cancer']
