{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T18:31:14Z","timestamp":1790361074018,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,9,6]],"date-time":"2013-09-06T00:00:00Z","timestamp":1378425600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2013,12]]},"abstract":"\n Objective<\/jats:title>\n To investigate surgeon preferences for perioperative management of transoral robotic surgery (TORS) and explore the frequency of postoperative complications.<\/jats:p>\n <\/jats:sec>\n \n Study Design<\/jats:title>\n Retrospective survey.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Multi\u2010institutional.<\/jats:p>\n <\/jats:sec>\n \n Subjects and Methods<\/jats:title>\n An electronic survey was sent to over 300 TORS\u2010trained surgeons in the United States identified by Intuitive Surgical, Inc. Participation was voluntary and solicited by email invitations to participate 3 times over a 1\u2010month period.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A total of 2015 procedures were reported by 45 respondent TORS\u2010trained surgeons: 67% academic, 33% nonacademic. A minority of TORS procedures (n = 214, 10.6%) were performed on previously irradiated patients. Neck dissections were performed concurrently (58%) or staged (42%). Fewer than 6% of TORS procedures required tracheotomy or reconstruction. Most surgeons (62%) initiated oral intake on postoperative day 0\u20101. Of the patients who required readmission, bleeding (n = 62, 3.1%) was the most common cause followed by dehydration (n = 26, 1.3%). Other complications of surgery included tooth injury (n = 29, 1.4%), percutaneous endoscopic gastrostomy (PEG) dependency >6\u00a0months (n = 21, 1.0%), temporary hypoglossal nerve injury (n = 18, 0.9%), and lingual nerve injury (n = 11, 0.6%). A total of 6 deaths (0.3%) were reported within 30\u00a0days of TORS. All reported deaths were due to postoperative hemorrhage. The complication rate decreased significantly with higher surgeon case volume (>50 cases).<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n TORS is associated with a low major complication rate, early initiation of oral intake, and a low rate of long\u2010term PEG dependency. Postoperative hemorrhage was the most common cause of hospital readmission and postoperative mortality.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/0194599813503446","type":"journal-article","created":{"date-parts":[[2013,9,7]],"date-time":"2013-09-07T01:35:03Z","timestamp":1378517703000},"page":"885-892","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":157,"title":["Surgeon Experience and Complications with Transoral Robotic Surgery (TORS)"],"prefix":"10.1002","volume":"149","author":[{"given":"Stanley H.","family":"Chia","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Medstar Washington Hospital Center Medstar Georgetown University Hospital Washington, DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil D.","family":"Gross","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Oregon Health & Science University Portland Oregon 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