{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:34:06Z","timestamp":1768264446353,"version":"3.49.0"},"reference-count":28,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2022,2,22]],"date-time":"2022-02-22T00:00:00Z","timestamp":1645488000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S002221512100476X_sec_a1\"><jats:title>Background<\/jats:title><jats:p>The introduction of transoral robotic surgery into routine management of patients is complex. It involves organisational, logistical and clinical challenges. This study presents our experience of implementing such a programme and provides a blueprint for other centres willing to establish similar services.<\/jats:p><\/jats:sec><jats:sec id=\"S002221512100476X_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Implementation of the robotic surgery programme focused on several key domains: training, logistics, governance, multidisciplinary team awareness, pre-operative imaging, anaesthesia, post-operative care, finance, patient selection and consent. Programme outcomes were evaluated by assessing operative outcomes of the first 117 procedures performed.<\/jats:p><\/jats:sec><jats:sec id=\"S002221512100476X_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>The success of the transoral robotic surgery programme has been possible because of the scrupulous planning phase before the first procedure, and the time invested on team awareness and training.<\/jats:p><\/jats:sec><jats:sec id=\"S002221512100476X_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>Implementation of a new transoral robotic surgery service has led to: the development of a dedicated transoral robotic surgery patient care protocol, the performance of progressively more complex procedures, the inclusion of transoral robotic surgery training and the establishment of several research projects.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s002221512100476x","type":"journal-article","created":{"date-parts":[[2022,2,22]],"date-time":"2022-02-22T09:28:18Z","timestamp":1645522098000},"page":"1231-1236","source":"Crossref","is-referenced-by-count":3,"title":["Establishing and integrating a transoral robotic surgery programme into routine oncological management of head and neck cancer \u2013 a UK perspective"],"prefix":"10.1017","volume":"136","author":[{"given":"A","family":"Arora","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0713-3765","authenticated-orcid":false,"given":"A","family":"Brunet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Oikonomou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Tornari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Faulkner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Jeyarajah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Touska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Sandison","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8736-4963","authenticated-orcid":false,"given":"A","family":"Rovira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Simo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J-P","family":"Jeannon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2022,2,22]]},"reference":[{"key":"S002221512100476X_ref5","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S103203"},{"key":"S002221512100476X_ref2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.23745"},{"key":"S002221512100476X_ref11","doi-asserted-by":"publisher","DOI":"10.1159\/000490596"},{"key":"S002221512100476X_ref28","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjaa258"},{"key":"S002221512100476X_ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.mpdhp.2020.01.005"},{"key":"S002221512100476X_ref8","doi-asserted-by":"publisher","DOI":"10.1159\/000489464"},{"key":"S002221512100476X_ref6","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000164714.90354.7D"},{"key":"S002221512100476X_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.12320"},{"key":"S002221512100476X_ref14","doi-asserted-by":"publisher","DOI":"10.1111\/ans.13741"},{"key":"S002221512100476X_ref13","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12860"},{"key":"S002221512100476X_ref20","first-page":"7","article-title":"Why I do not have a robot","volume":"92","author":"Sethia","year":"2010","journal-title":"Ann R Coll Surg Engl"},{"key":"S002221512100476X_ref22","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.supp2.34"},{"key":"S002221512100476X_ref19","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f7470"},{"key":"S002221512100476X_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2016.12.033"},{"key":"S002221512100476X_ref25","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25887"},{"key":"S002221512100476X_ref1","unstructured":"1 Cancer Research UK. 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