{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T17:53:40Z","timestamp":1781286820176,"version":"3.54.1"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2020,8,26]],"date-time":"2020-08-26T00:00:00Z","timestamp":1598400000000},"content-version":"vor","delay-in-days":25,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Single-session, dual-site robotic surgery for synchronous malignancies is not widely reported. To our knowledge, there are no previous reports of transoral robotic surgery (TORS) and robot-assisted thoracic surgery (RATS) in a single sitting. A 49-year-old male presented with a neck lump. Biopsies and imaging proved synchronous primaries of the tonsil and lung. The morbidity of primary dual-site chemoradiotherapy, or open surgery, presented a management challenge. We therefore opted for sequential robotic resections, in a single sitting. The patient was discharged on Day 6 post-operatively and was able to start radiotherapy less than 3 weeks post-operatively. Undertaking TORS and RATS in a single sitting is feasible and safe. This approach allowed fast-tracking of adjuvant oncological therapy, arguably conveying the greatest chance of cure. We detail the rationale and utility of this novel approach and describe the surgical and anaesthetic challenges of two teams undertaking sequential robotic procedures in a single sitting.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa258","type":"journal-article","created":{"date-parts":[[2020,6,22]],"date-time":"2020-06-22T19:40:44Z","timestamp":1592854844000},"source":"Crossref","is-referenced-by-count":2,"title":["Single-session, dual-site robotic surgery for synchronous primary malignancies of the oropharynx and thorax"],"prefix":"10.1093","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6977-4325","authenticated-orcid":false,"given":"Mairead","family":"Kelly","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Head and Neck Surgery, Guy's and St Thomas' NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgios","family":"Oikonomou","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Head and Neck Surgery, Guy's and St Thomas' NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chrysostomos","family":"Tornari","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Head and Neck Surgery, Guy's and St Thomas' NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Imran","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Department of Anaesthetics, Guy's and St Thomas' NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Bille","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Guy's and St Thomas' NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Pierre","family":"Jeannon","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Head and Neck Surgery, Guy's and St Thomas' NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asit","family":"Arora","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Head and Neck Surgery, Guy's and St Thomas' NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,8,26]]},"reference":[{"key":"2020082614370613000_ref1","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1016\/j.amjoto.2019.06.001","article-title":"Outcomes in surgically resectable oropharynx cancer treated with transoral robotic surgery versus definitive chemoradiation","volume":"40","author":"Dhanireddy","year":"2019","journal-title":"Am J Otolaryngol"},{"key":"2020082614370613000_ref2","doi-asserted-by":"crossref","first-page":"233","DOI":"10.21037\/acs.2019.03.01","article-title":"Robot-assisted thoracic surgery in Colombia\u00a0: a multi-institutional initial experience","volume":"8","author":"Buitrago","year":"2019","journal-title":"Ann Cardiothorac Surg"},{"key":"2020082614370613000_ref3","article-title":"Multiple primary malignancies of laryngeal cancer, small cell lung cancer and squamous cell lung cancer in a patient: how to approach MPMs","volume":"2017","author":"Kim","year":"2017","journal-title":"BMJ Case Rep"},{"key":"2020082614370613000_ref4","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1002\/rcs.1608","article-title":"Sequential robot-assisted radical right nephrectomy and cholecystectomy: a safe combined procedure","volume":"11","author":"Spinoit","year":"2015","journal-title":"Int J Med Robot"},{"key":"2020082614370613000_ref5","doi-asserted-by":"crossref","first-page":"e34","DOI":"10.1097\/SLE.0b013e3182074e1b","article-title":"Two procedures at the same robotic session: robot-assisted laparoscopic radical prostatectomy and cholecystectomy","volume":"21","author":"Akbulut","year":"2011","journal-title":"Surg Laparosc Endosc Percutaneous Tech"},{"key":"2020082614370613000_ref6","doi-asserted-by":"crossref","first-page":"173","DOI":"10.4293\/108680812X13291597716744","article-title":"Combined robotic lobectomy and adrenalectomy for lung cancer and solitary adrenal metastasis","volume":"16","author":"Yuh","year":"2012","journal-title":"JSLS"},{"key":"2020082614370613000_ref7","article-title":"NG36. 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