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The video shows the procedure of using Trans-Oral Robotic Surgery (TORS) via da-Vinci robot Si-system to resect a T1 glottic cancer located at the right side vocal fold with anterior commissure involvement. Under general anesthesia with oro-endotracheal intubation, glottis was exposed by Laryngeal Advanced Retractor System (LARS). With a panoramic view, the tumor could be en-bloc resected by using endo-wristed instruments (Maryland dissector at the left hand side and Mono-polar cautery at the right hand side). The spatula tip of mono-polar cautery could be used to peel the Broyle's ligament from the inner lamina of thyroid cartilage and the bleeding during dissection could be easily stopped by using electrocauterization.
glottic ca, anterior commissure, transoral robotic surgery
glottic ca, anterior commissure, transoral robotic surgery
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