{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T02:55:36Z","timestamp":1790996136651,"version":"4.1.0"},"reference-count":12,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:00:00Z","timestamp":1790899200000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate the feasibility of transoral robotic total laryngectomy using the Da Vinci Single Port (SP) Robotic System, to describe the surgical technique and discuss postoperative outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A clinical case of a 69\u2010year\u2010old woman with recurrent squamous cell carcinoma of the right aryepiglottic fold was reviewed. Following prior surgical resection with positive margins and a previous history of chemoradiotherapy, salvage total laryngectomy was performed using the Da Vinci SP robotic platform. The procedure was conducted following a modified transoral robotic approach previously described for multiport systems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Transoral robotic laryngectomy using the Da Vinci SP system was accomplished without needing conversion to a conventional open approach. The procedure consisted of a cervical dissection phase, transoral robotic resection, transoral pharyngeal reconstruction, and cervical closure. Total robotic console time was 51\u2009min. Oral intake was resumed after a barium swallow 18\u2009days postoperatively showed no signs of fistulization. At 6\u2009months follow\u2010up, no locoregional recurrence or delayed complications were observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Transoral robotic total laryngectomy using the Da Vinci SP system appears technically feasible and may offer several advantages compared to conventional open approach and multiport robotic systems. These include improved visualization, enhanced instrument maneuverability, limited cervical dissection and favorable functional recovery. Larger studies are required to evaluate reproducibility, long\u2010term oncologic safety, and functional outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>5.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lio2.70582","type":"journal-article","created":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T02:17:57Z","timestamp":1790993877000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility of Transoral Robotic Total Laryngectomy With the Da Vinci Single Port Robotic System"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7737-9997","authenticated-orcid":false,"given":"Matthias","family":"De Witte","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery AZ Sint\u2010Jan  Bruges Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jolente","family":"Boulanger","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery AZ Sint\u2010Jan  Bruges Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Lawson","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery CHU UCL  Namur Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Dick","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery AZ Sint\u2010Jan  Bruges Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederick","family":"Dochy","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery AZ Sint\u2010Jan  Bruges Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Vauterin","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery AZ Sint\u2010Jan  Bruges Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,2]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1002\/lary.29857","article-title":"Health\u2010Related Quality of Life, Dysphagia, Voice Problems, Depression, and Anxiety After Total Laryngectomy","volume":"132","author":"Wulff N. B.","year":"2021","journal-title":"Laryngoscope"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/107327480200900503"},{"issue":"12","key":"e_1_2_9_4_1","doi-asserted-by":"crossref","first-page":"1220","DOI":"10.1001\/archotol.133.12.1220","article-title":"Transoral Robotic Surgery","volume":"133","author":"Weinstein G. S.","year":"2007","journal-title":"Archives of Otolaryngology \u2013 Head & Neck Surgery"},{"issue":"1","key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1002\/hed.26902","article-title":"Transoral Robotic Surgery (TORS) Using the da Vinci xi: Prospective Analysis of Feasibility, Safety, and Outcomes","volume":"44","author":"Meulemans J.","year":"2021","journal-title":"Head & Neck"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000227184.90514.1a"},{"issue":"3","key":"e_1_2_9_7_1","first-page":"369","article-title":"Single\u2010Port Versus Multiport da Vinci System for Transoral Robotic Surgery of Hypopharyngeal and Laryngeal Carcinoma","volume":"169","author":"Solares C. A.","year":"2023","journal-title":"Otolaryngology\u2014Head and Neck Surgery"},{"issue":"2","key":"e_1_2_9_8_1","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1001\/jamaoto.2023.3994","article-title":"Comparison of da Vinci Single Port vs Si Systems for Transoral Robotic\u2010Assisted Surgery","volume":"150","author":"Oberhelman N.","year":"2023","journal-title":"JAMA Otolaryngology. Head & Neck Surgery"},{"issue":"2","key":"e_1_2_9_9_1","first-page":"157","article-title":"Comparison of da Vinci Single\u2010Port vs Si Systems for Transoral Robotic\u2010Assisted Surgery: A Review With Technical Insights","volume":"150","author":"Orosco R. K.","year":"2024","journal-title":"JAMA Otolaryngology. Head & Neck Surgery"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23287"},{"issue":"1","key":"e_1_2_9_11_1","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1007\/s11701-024-01970-2","article-title":"Robotic and Endoscopic Trans\u2010Oral Total Laryngectomy, a Systematic Review and Meta\u2010Analysis","volume":"18","author":"Tumlin P.","year":"2024","journal-title":"Journal of Robotic Surgery"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.132.1.67"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28323"}],"container-title":["Laryngoscope Investigative Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lio2.70582","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lio2.70582","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lio2.70582","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T02:17:59Z","timestamp":1790993879000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lio2.70582"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":12,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/lio2.70582"],"URL":"https:\/\/doi.org\/10.1002\/lio2.70582","archive":["Portico"],"relation":{},"ISSN":["2378-8038","2378-8038"],"issn-type":[{"value":"2378-8038","type":"print"},{"value":"2378-8038","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2026-08-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70582"}}