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Transoral Robotic Surgery in the Nordic Countries: Current Status and Perspectives
Karolinska Univ Hosp, Stockholm, Sweden;Univ Helsinki, Dept Otorhinolaryngol Head & Neck Surg, Helsinki, Finland;Helsinki Univ Hosp, Helsinki, Finland;Karolinska Inst, Div Ear Nose & Throat Dis, Dept Clin Sci Intervent & Technol, Stockholm, Sweden.
Univ Helsinki, Dept Otorhinolaryngol Head & Neck Surg, Helsinki, Finland;Helsinki Univ Hosp, Helsinki, Finland.
Univ Helsinki, Dept Otorhinolaryngol Head & Neck Surg, Helsinki, Finland;Helsinki Univ Hosp, Helsinki, Finland.
Univ Helsinki, Dept Otorhinolaryngol Head & Neck Surg, Helsinki, Finland;Helsinki Univ Hosp, Helsinki, Finland.
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2018 (English)In: Frontiers in Oncology, ISSN 2234-943X, E-ISSN 2234-943X, Vol. 8, article id 289Article in journal (Refereed) Published
Abstract [en]

Background: The five Nordic countries with a population of 27 M people form a rather homogenous region in terms of health care. The management of head and neck cancer is centralized to the 21 university hospitals in these countries. Our aim was to gain an overview of the volume and role of transoral robotic surgery (TORS) and to evaluate the need to centralize it in this area as the field is rapidly developing. Materials and Methods: A structured questionnaire was sent to all 10 Departments of Otorhinolaryngology-Head and Neck Surgery in the Nordic countries having an active programme for TORS in December 2017. Results: The total cumulative number of performed robotic surgeries at these 10 Nordic centers was 528 and varied between 5 and 240 per center. The median annual number of robotic surgeries was 38 (range, 5-60). The observed number of annually operated cases remained fairly low (<25) at most of the centers. Conclusions: The present results showing a limited volume of performed surgeries call for considerations to further centralize TORS in the Nordic countries.

Place, publisher, year, edition, pages
2018. Vol. 8, article id 289
Keywords [en]
head and neck, surgery, management, centralization, cancer
National Category
Surgery
Identifiers
URN: urn:nbn:se:uu:diva-361997DOI: 10.3389/fonc.2018.00289ISI: 000439996700002OAI: oai:DiVA.org:uu-361997DiVA, id: diva2:1253116
Available from: 2018-10-03 Created: 2018-10-03 Last updated: 2018-10-03Bibliographically approved

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Ekberg, ThomasSandström, KarlLaurell, Göran

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