08:09am Thursday 17 October 2019

Loyola First Hospital In Illinois To Use Robotic Surgical System For Oral, Head And Neck Tumors

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Surgeons successfully removed a portion of the base of a patient’s tongue. The patient is expected to recover with full ability to swallow and speak.

On Dec. 16, the U.S. Food and Drug Administration cleared the da Vinci Surgical System® for benign and malignant tumors in such locations as the tongue, tonsil, mouth and voice box.

Studies have found that, compared with conventional surgical techniques, the robotic system can result in shorter hospital stays, fewer complications, less blood loss and scarring and reduced risks of infections and long-term swallowing problems.

“The system provides 3-D, high-definition visualization and is significantly more precise,” said head-and-neck surgeon Dr. Chad Zender, who performed the first surgery. Zender is an assistant professor in the Department of Otolaryngology at Loyola University Chicago Stritch School of Medicine.

Head-and-neck surgeon Dr. Francis Ruggiero, who participated in the surgery and will direct Loyola’s robotic program for oral, head and neck tumors, said the robotic system “provides amazingly facile movements.”

The system includes four robotic arms. One arm has a pair of small video cameras. The other three arms control miniaturized surgical tools. The surgeon sits at a console with a 3-D monitor and two joysticks. Movements by the surgeon’s hand or wrist are translated into precise movements of the surgical instruments. The robot makes no decisions on its own and can not be pre-programmed. Every maneuver is directed by the surgeon, in real time, as the surgeon views a highly magnified image of the surgical site.

“The robotic system will be a major plus in the treatment of head, neck and oral cancers,” said Dr. James Stankiewicz, chairman of the Department of Otolaryngology. “The system will enhance the skills of our subspecialty surgeons who have undergone advanced training.”

Loyola began using a robotic surgical system in 2006, and recently added a second system. Last year, Loyola surgeons performed more than 350 robotic procedures in areas including urology, gynecology, prostate, oncology, cardiovascular/thoracic and general surgery.

Oral, head and neck cancers account for about 3 percent of all cancer cases in the United States. In 2009, more than 35,000 Americans were diagnosed with these cancers, and 7,600 died.

When diagnosed early, oral, head and neck cancers are easier to cure. Common early warning signs include:

* A red or white patch in the mouth that lasts more than two years.

* Change in voice or hoarseness that lasts more than two years.

* Sore throat that does not subside.

* Pain or swelling in the mouth or neck that does not subside.

* Lump in the neck.

Warning signs that occur in later stages include:

* Ear pain.

* Difficulty speaking or swallowing.

* Difficulty breathing.

Based in the western suburbs of Chicago, Loyola University Health System is a quaternary care system with a 61-acre main medical center campus, the 36-acre Gottlieb Memorial Hospital campus and 25 primary and specialty care facilities in Cook, Will and DuPage counties. The medical center campus is conveniently located in Maywood, 13 miles west of the Chicago Loop and 8 miles east of Oak Brook, Ill. The heart of the medical center campus, Loyola University Hospital, is a 561-licensed-bed facility. It houses a Level 1 Trauma Center, a Burn Center and the Ronald McDonald® Children’s Hospital of Loyola University Medical Center. Also on campus are the Cardinal Bernardin Cancer Center, Loyola Outpatient Center, Center for Heart & Vascular Medicine and Loyola Oral Health Center as well as the LUC Stritch School of Medicine, the LUC Marcella Niehoff School of Nursing and the Loyola Center for Fitness. Loyola’s Gottlieb Memorial Hospital campus in Melrose Park includes the 264-bed community hospital, the Gottlieb Center for Fitness and the Marjorie G. Weinberg Cancer Care Center.


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