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Trans-Oral Robotic Surgery (TORS)

Trans-oral robotic surgery (TORS) represents a breakthrough treatment option for head and neck cancer patients. This cutting-edge technique uses an endoscope to provide wide-view, high-resolution, magnified three-dimensional optics that clearly show mucosal surfaces. This approval allows doctors to precisely remove T1-T2 tumours of the oropharynx.

TORS helps many head and neck carcinoma patients reduce or avoid the need for post-operative adjuvant therapy. For you it means a less intensive treatment with minimal damage to your health and body tissues. 

Why CARE Group Hospitals is Your Top Choice for Trans-oral Robotic Surgery (TORS) in Hyderabad

When the doctor recommends TORS for you, the first question that comes into your mind is, "Where should I go for the surgery?" CARE Hospitals is your answer. It is one of the best centres for TORS procedures. The hospital's surgeons have extensive training and deliver outstanding results in traditional and minimally invasive surgeries. A dedicated operation theatre complex has been remodelled specifically for robotic procedures. The facility provides 24/7 imaging, laboratory and blood bank services.

Advanced Surgical Innovations at CARE Hospital

CARE achieves surgical excellence with its advanced Robot-Assisted Surgery technologies – the Hugo and Da Vinci X Robotic systems. These sophisticated platforms improve surgical precision through robotic arms that offer exceptional flexibility. Surgeons maintain steady control without damaging surrounding tissues.

Indications for Trans-oral Robotic Surgery (TORS)

TORS successfully treats several conditions in the oropharynx:

  • Tonsil and base of tongue cancers
  • Oropharyngeal tumours
  • Laryngeal cancer
  • Benign tumours of the larynx
  • Supraglottic tumours

Types of Trans-oral Robotic Surgery (TORS) Procedures

The surgical team performs multiple TORS procedures. These include: 

  • Lateral oropharyngectomy to remove tonsil cancer
  • Tongue base hemiglossectomy for removing half of the tongue base
  • Supraglottic laryngectomy to remove cancer above the voice box
  • Base of tongue mucosectomy

Pre-surgery Preparation

These include:

  • Doctors check swallowing function and perform imaging tests to create a detailed surgical plan.
  • The doctors will give you specific instructions about managing medications during pre-surgical consultations. 
  • The doctors will advise you to stop smoking and drinking alcohol before the procedure.
  • Follow your doctor's instructions about when you should stop eating or drinking before the operation.

Trans-oral Robotic Surgery Procedure Steps

  • Your doctor will give you general anaesthesia during the operation. 
  • With the help of the da Vinci system, which your doctor controls from a console, they will view high-resolution 3D images of the surgical site. 
  • Robotic instruments reach tumours through the mouth, which eliminates the need for external cuts.
  • Surgeons take out the specific tumour and check the surgical site to confirm all needed tissues are removed.

Post-Surgery Recovery

Hospital stays usually last 1-3 days after TORS. You may have a feeling of discomfort in your throat, and it may be difficult for you to swallow at first. You can start taking liquids the next day after surgery, and gradually, your doctor will ask you to move to soft foods.

Risks and Complications

Risks are rare, but some of these might occur:

  • Bleeding 
  • Respiratory issues  
  • Occasionally, you may experience difficulty in swallowing, requiring treatment.
  • If you are more than 60 years old, then the procedure can be more risky for you 

Benefits of Trans-oral Robotic Surgery

Benefits are:

  • Shorter hospital stays and quicker recovery.
  • No visible scarring
  • No additional treatments needed
  • Speech and swallowing functions remain better compared to traditional methods.

Insurance Assistance for TORS

Insurance plans typically cover TORS when needed medically. Talk to your insurance provider for better understanding.

Second Opinion for Trans-oral Robotic Surgery

Getting additional medical viewpoints will help patients receive the right treatment recommendations before choosing this specialised procedure.

Conclusion

TORS offers a revolutionary treatment option to patients with head and neck cancer. This advanced approach helps doctors remove tumours with precision and protects essential functions. 

CARE Hospitals leads the field with cutting-edge robotic systems and its dedicated surgical team. Our specialised facilities provide the perfect setting for these complex procedures. A team of experts works together to give detailed care to each patient before, during, and after surgery.

Medical science keeps improving treatment options for head and neck cancer patients. TORS marks a crucial step forward as we begin a journey toward better cancer care with fewer side effects.

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Frequently Asked Questions

If you have a head and neck condition, your doctor may recommend TORS. It is a minimally invasive procedure that causes very little damage to your healthy body tissues. 

TORS treats serious conditions but remains less invasive than traditional approaches. The surgery takes just 1.5-2 hours compared to 10-12 hours for open surgery. Patients feel less post-operative discomfort and recover faster.

TORS proves safer than conventional surgery. All the same, one study showed complications in some patients. 

Doctors use TORS to treat early-stage head and neck cancers, especially those affecting the oropharynx (back of throat, tonsils, base of tongue). Some patients receive this treatment to address obstructive sleep apnea.

The main TORS procedure lasts 1.5-2 hours. Adding neck surgery extends the total operating time to about 4-5 hours.

Complications can include bleeding, respiratory issues, swallowing difficulties, and aspiration. Patients above 60 face three times higher odds of experiencing complications.

Hospital stays usually last 2-3 days. Complete recovery takes about 6 weeks. Most patients go back to their normal routines in about 2 to 3 weeks.

Patients experience throat pain and swallowing difficulties during the first 48 hours after surgery. Pain reaches its peak days to weeks after surgery before gradually returning to normal. Pain management medications help reduce discomfort during recovery.

Ideal candidates are:

  • Patients with small tumours on the back of their tongue or tonsils 
  • HPV-positive tumours show a good response to this approach. 
  • Your mouth's structure and overall health will determine if you qualify.

You can resume your daily activities within a few weeks. Full recovery takes about six weeks. Your surgeon will give you specific guidance based on your case.

Yes, most insurance plans cover TORS if it's medically needed, but coverage varies a lot between providers.

You will stay in the hospital for 2-3 days. Patients who need additional neck dissection might stay 7-10 days.

Your throat will hurt, and swallowing will be difficult for 2-3 weeks. A speech-language therapist can help you swallow better. Regular checkups will monitor your recovery.

TORS isn't right for patients with widespread cancer, breathing problems, small mouth structure, or tumours near major blood vessels. A BMI of 40 or higher might disqualify you.

Call your doctor right away if you get a fever, bleeding, breathing problems, or too much swelling. Good nutrition & hydration are vital for healing.

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