Transoral Robotic Surgery (TORS)

First Edition

Gregory S Weinstein, Bert W. O'Malley

Details: 253 pages, Full Color, Hardcover + DVD, 8.5" x 11"

ISBN13: 978-1-59756-074-0

© 2012 | Available

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Cancer surgery of the mouth and throat can involve major incision wounds, tracheotomy, or necessitate the breaking of bones. Recognizing the benefits and success of robotic surgery in other areas of medicine, the authors present its use in head and neck surgery, resulting in less surgery, less deformity, and faster rehabilitation.

In this new book, the authors describe the preoperative aspects of Transoral Robotic Surgery (TORS), including patient evaluation, instrumentation and set-up, moving on to diagnostic endoscopic and surgical techniques for tonsillectomy, laryngectomy, tongue base and glottic resection, and speech and swallowing considerations. They conclude with an examination of the potential for TORS in skull-base surgery, its future application and, importantly, telesurgery via the Internet.

A pioneering book for a pioneering surgical technique in head and neck surgical technique and management, this should be on the shelf of every otolaryngology-head and neck surgeon

View a sample video from the DVD here.

1. From the Robotics Lab to the Bedside
Gregory S. Weinstein, Bert W. O’Malley, Jr. and Jason A. Diaz

2. Preoperative Evaluation
Gregory S. Weinstein, Bert W. O’Malley, Jr., and Harry Quon

3. Instrumentation and Supplies
Bert W. O’Malley, Jr. and Gregory S. Weinstein

4. Patient positioning and Room Setup Utilizing the da Vinci Robotic System- A Surgeon’s Perspective
Gregory S. Weinstein, W. Abuzeid, K. Khan, Bert W. O’Malley, Jr.

5. The Critical Role of the Operating Room Nursing Team
Joseph W. Readinger, Samantha Davis, and Laura Kelchner

6. The Critical Roles of the Bedside Surgical Assistant: Optimizing Patient Safety and Achieving Hemostasis
Neil G. Hockstein, Gregory S. Weinstein, Bert W. O’Malley, Jr.

7. Transoral Anatomy in the Context of TORS
Niels Kokot, Bert W. O’Malley, Jr., Gregory S. Weinstein

8. Radical Tonsillectomy
Gregory S. Weinstein, Bert W. O’Malley, Jr., and Harry Quon

9. Tongue Base Resection
Bert W. O’Malley, Jr., Gregory S. Weinstein, W. Abuzaid, K. Khan, and Harry Quon

10. Supraglottic Partial Laryngectomy
Gregory S. Weinstein, Bert W. O’Malley, Jr., W. Abuzaid, K. Khan, and Harry Quon

11. TORS for Parapharyngeal Space Tumors
Bert W. O’Malley, Jr., Gregory S. Weinstein, Fernando D. Leonhardt, and Harry Quon

12. Tongue Base Reduction (TBR) and SupraGlottoPlasty (SGP) for Obstructive Sleep Apnea
Claudio Vicini, Filippo Montevecchi, Giulia Tenti, Pietro Canzi, Iacopo Dallan and Erica Thaler

13. Glottic Procedures
Bert W. O’Malley, Jr., Gregory S. Weinstein, W. Abuzaid, K. Khan, Harry Quon

14. Skull base TORS, Robotic Cranial Base Surgery and TORS Nasopharyngeal Resection
Brad C. Lega, John Y.K. Lee, Jason G. Newman, M. Sean Grady, Gregory S. Weinstein, Bert W. O’Malley, Jr.

15. Postoperative Management: Optimizing Postsurgical Clinical Outcomes
Bert W. O’Malley Jr., Gregory S. Weinstein, Ray Blanco, Dev Basu, and Shannon Murray

16. Special Considerations for Radiation Therapy Following TORS —Part 1 —Background and Rationale
Harry Quon, Gregory S. Weinstein, and Bert W. O’Malley, Jr

17. Special Considerations for Radiation Therapy Following TORS —Part 2 —Current Treatment Approaches
Harry Quon, Gregory S. Weinstein and Bert W. O’Malley, Jr.

18. Speech and Swallowing Rehabilitation following TORS
Patricia K. Dooley and Lauren M. Campe

19. Surgical TeleMentoring: A Future Paradigm Shift in Surgical Education
Bert W. O’Malley, Jr. and Gregory S. Weinstein


DVD Contents:

  • da Vinci Radical Tonsillectomy Full-Length Procedure

Gregory S Weinstein

Gregory S Weinstein, MD, is the Professor and Vice-Chairman of the Department of Otorhinolaryngology-Head and Neck Surgery. He is Director of the Division of Head and Neck Surgery and Co-Director of the Center for Head and Neck Cancer. Dr. Weinstein completed his residency at the University of Iowa and completed his American Head and Neck Society Advanced Training Head and Neck Surgical Fellowship at the University of California, Davis.

He was Principal investigator of the world’s first IRB approved human clinical trial for robotic surgery in the field of Head and Neck Surgery. Dr. Weinstein has also been involved in establishing the first formal training program in TORS. Drs. Weinstein and O’Malley established the first formal training program in TORS and have trained over 150 physician/researchers from a number of centers around the United States in the TORS techniques as well as visiting surgeons from numerous other countries. At the request of the FDA, Drs. Weinstein and O’Malley also initiated a retrospective human clinical trials at select US institutions (notably Mayo Clinic, University of Alabama, and MD Anderson) to show that TORS can be translated to other institutions and surgeons.

Dr. Weinstein is one of five founding members of The Society of Robotic Surgery and the first President of that society. This multispecialty society with more than 400 members was founded on the fundamental principles of education and collaboration as a means to tackle the complex issues of robotic surgery. (www.srobotics.org)

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Bert W. O'Malley

Bert W. O'Malley, Jr., MD is the Gabriel Tucker Professor and Chairman of the Department of Otorhinolaryngology—Head & Neck Surgery. He is the Director of the Head and Neck Cancer Research Program, Co-Director of the Center for Head and Neck Cancer and Co-Director of the Center for Cranial Base Surgery, with joint appointments in the Departments of Neurosurgery and Radiation Oncology.

Dr. O'Malley received his medical degree from the University of Texas Southwestern at Dallas. He completed two years of general surgery residency at the University of Texas Southwestern and Parkland Memorial Hospital and then a residency in Otolaryngology—Head and Neck Surgery at Baylor College of Medicine. Dr. O'Malley completed a fellowship in head and neck oncology and cranial base surgery at the University of Pittsburgh and subsequently began his academic faculty career at the Johns Hopkins University in 1995.

Dr. O'Malley previously served as Professor and Chairman of the Division of Otolaryngology—Head and Neck Surgery at the University of Maryland School of Medicine from February 1, 1999 through July of 2003 with joint appointments in the Department of Surgery and the Greenebaum Cancer Center. Prior to his appointment at Maryland, he held the position of Associate Professor and Director of Gene and Molecular Therapy in the Department of Otolaryngology—Head & Neck Surgery at the Johns Hopkins School of Medicine.

Dr. O'Malley brings clinical expertise in the area of skull base tumor surgery, head and neck and thyroid cancer and endoscopic sinus surgery. His clinical research focuses on the development of novel technologies such as image-guided surgery and robotic surgery. Dr. O'Malley co-founded the first human robotics head and neck and skull base program in the world and is co-principal investigator of the first IRB approved human clinical trial for robotic surgery in the specialty. He is actively developing novel robotic surgical procedures (TORS) and instrumentation to advance the use of this technology in all aspects of Otolaryngology - Head and Neck Surgery. He was instrumental in the achievement of US FDA approval in December 2009 for TORS (Trans Oral Robotic Surgery).

Dr. O'Malley is conducting laboratory research in the area of gene and molecular therapy, investigating both viral and non-viral based gene therapies for the treatment of head and neck cancer. The newest direction of this research is the use of molecular therapies to enhance the anti-tumor effects of chemotherapy and radiation while reducing the known toxicities of these treatments.

Board certified in Otolaryngology—Head & Neck Surgery, Dr. O'Malley is a Fellow of the American College of Surgeons and the International College of Surgeons. Dr. O'Malley is a member of numerous professional societies, including the American Academy of Otolaryngology—Head & Neck Surgery, the American Society of Head & Neck Surgery, the Triological Society, the American Laryngologic Society, the American BrochoEsophagology Society, the American Rhinologic Society, the Society of University Otolaryngologists—Head & Neck Surgeons, The John Morgan Society, The Russian-American Cancer Alliance, The American College of Head and Neck Surgery, American Society for Gravitational and Space Biology and the Philadelphia County Medical Society. He is a founding member of the Cell Transplant Society and the Society of Robotic Surgery.

Dr. O'Malley is Editor-in-Chief of the Journal for Oto-Rhino-Laryngology and Editor of the textbook Atlas of Skull Base Surgery.

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