- Transoral robotic surgery (TORS) is associated with similar margin status, need for adjuvant radiation, and OS as open partial surgery in patients with early-stage (T1/2) laryngeal squamous cell carcinoma (SCC), whereas transoral laser microsurgery (TLM) is associated with increased rates of positive margins and need for adjuvant radiation.
Why this matters
- There are limited data on outcomes of TORS for laryngeal cancer, which is increasingly used and has potential for functional preservation.
- TORS was associated with similar positive margin status as open surgery (OR, 1.18; 95% CI, 0.72-1.94).
- TLM was associated with increased rates of positive margins compared with open surgery (OR, 1.63; 95% CI, 1.12-2.38).
- TORS was associated with similar need for adjuvant radiation as open surgery (OR, 1.56; 95% CI, 0.97-2.49).
- TLM was associated with increased need for adjuvant radiation compared with open surgery (OR, 1.52; 95% CI, 1.04-2.24).
- Surgical approach was not significantly associated with OS (P=.37), although the study was not powered for survival analysis.
- 1780 patients with T1/2 laryngeal SCC from the National Cancer Database, 10.4% who received TORS, 29.4% who received open surgery, and 60.2% who received TLM, were included.
- Funding: None disclosed.
- Retrospective study of large database.