{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T17:42:52Z","timestamp":1785778972707,"version":"3.56.0"},"reference-count":22,"publisher":"Pacini Editore","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Otorhinolaryngol Ital"],"DOI":"10.14639\/0392-100x-n0688","type":"journal-article","created":{"date-parts":[[2021,3,22]],"date-time":"2021-03-22T06:29:00Z","timestamp":1616394540000},"page":"24-30","source":"Crossref","is-referenced-by-count":6,"title":["Flexible transoral robotic surgery: the Italian experience","Chirurgia robotica transorale flessibile: l\u2019esperienza italiana"],"prefix":"10.14639","volume":"41","author":[{"given":"Francesco","family":"Barbara","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Cariti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"De Robertis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Barbara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"20340","published-online":{"date-parts":[[2021,2]]},"reference":[{"key":"10.14639\/0392-100X-N0688_ref1","doi-asserted-by":"crossref","unstructured":"Takes RP, Strojan P, Silver CE, et al. Current trends in initial management of hypopharyngeal cancer: the declining use of open surgery. Head Neck 2012;34:270-81. https:\/\/doi.org\/10.1002\/hed.21613","DOI":"10.1002\/hed.21613"},{"key":"10.14639\/0392-100X-N0688_ref2","doi-asserted-by":"crossref","unstructured":"Weiss BG, Ihler F, Anczykowski MZ, et al. Transoral laser microsurgery for treatment of oropharyngeal cancer in 368 patients. Head Neck 2019;41:3144-58. https\/\/doi.org\/10.1002\/hed.25806","DOI":"10.1002\/hed.25806"},{"key":"10.14639\/0392-100X-N0688_ref3","doi-asserted-by":"crossref","unstructured":"Djukic V, Milovanovi\u0107 J, Joti\u0107 AD, et al. Laser transoral microsurgery in treatment of early laryngeal carcinoma. Eur Arch Otorhinolaryngol 2019;276:1747-55. https\/\/doi.org\/10.1007\/s00405-019-05453-1","DOI":"10.1007\/s00405-019-05453-1"},{"key":"10.14639\/0392-100X-N0688_ref4","doi-asserted-by":"crossref","unstructured":"Vicini C, Leone CA, Montevecchi F, et al. Successful application of transoral robotic surgery in failures of traditional transoral laser microsurgery: critical considerations. ORL J Otorhinolaryngol Relat Spec 2014;76:98-104. https\/\/doi.org\/10.1159\/000359953","DOI":"10.1159\/000359953"},{"key":"10.14639\/0392-100X-N0688_ref5","doi-asserted-by":"crossref","unstructured":"Meccariello G, Montevecchi F, D\u2019Agostino G, et al. Trans-oral robotic surgery for the management of oropharyngeal carcinomas: a 9-year institutional experience. Acta Otorhinolaryngol Ital 2019;39:75-83. https:\/\/doi.org\/10.14639\/0392-100X-2199","DOI":"10.14639\/0392-100X-2199"},{"key":"10.14639\/0392-100X-N0688_ref6","doi-asserted-by":"crossref","unstructured":"Weinstein GS, O\u2019Malley BW Jr, Snyder W, et al. Transoral robotic surgery: supraglottic partial laryngectomy. Ann Otol Rhinol Laryngol 2007;116:19-23. https\/\/doi.org\/10.1177\/000348940711600104","DOI":"10.1177\/000348940711600104"},{"key":"10.14639\/0392-100X-N0688_ref7","doi-asserted-by":"crossref","unstructured":"Peters BS, Armijo PR, Krause C, et al. Review of emerging surgical robotic technology. Surg Endosc 2018;32:1636-55. https\/\/doi.org\/10.1007\/s00464-018-6079-2","DOI":"10.1007\/s00464-018-6079-2"},{"key":"10.14639\/0392-100X-N0688_ref8","doi-asserted-by":"crossref","unstructured":"Richmon JD. Transoral palate-sparing nasopharyngectomy with the Flex\u00ae System: preclinical study. Laryngoscope 2015;125:318-22. https\/\/doi.org\/10.1002\/lary.24918","DOI":"10.1002\/lary.24918"},{"key":"10.14639\/0392-100X-N0688_ref9","doi-asserted-by":"crossref","unstructured":"Johnson PJ, Rivera Serrano CM, Castro M, et al. Demonstration of transoral surgery in cadaveric specimens with the medrobotics flex system. Laryngoscope 2013;123:1168-72. https\/\/doi.org\/10.1002\/lary.23512","DOI":"10.1002\/lary.23512"},{"key":"10.14639\/0392-100X-N0688_ref10","doi-asserted-by":"crossref","unstructured":"Mandapathil M, Greene B, Wilhelm T. Transoral surgery using a novel single-port flexible endoscope system. Eur Arch Otorhinolaryngol 2015;272:2451-6. https\/\/doi.org\/10.1007\/s00405-014-3177-1","DOI":"10.1007\/s00405-014-3177-1"},{"key":"10.14639\/0392-100X-N0688_ref11","doi-asserted-by":"crossref","unstructured":"Remacle M, Prasad VMN, Lawson G, et al. Transoral robotic surgery (TORS) with the Medrobotics Flex\u2122 System: first surgical application on humans. Eur Arch Otorhinolaryngol 2015;272:1451-5. https\/\/doi.org\/10.1007\/s00405-015-3532-x","DOI":"10.1007\/s00405-015-3532-x"},{"key":"10.14639\/0392-100X-N0688_ref12","doi-asserted-by":"crossref","unstructured":"Lang S, Mattheis S, Hasskamp P, et al. A European multicenter study evaluating the flex robotic system in transoral robotic surgery. Laryngoscope 2017;127:391-5. https\/\/doi.org\/10.1002\/lary.26358","DOI":"10.1002\/lary.26358"},{"key":"10.14639\/0392-100X-N0688_ref13","doi-asserted-by":"crossref","unstructured":"Sethi N, Gouzos M, Padhye V, et al. Transoral robotic surgery using the Medrobotic Flex\u00ae system: the Adelaide experience. J Robot Surg 2020;14:109-13. https\/\/doi.org\/10.1007\/s11701-019-00941-2","DOI":"10.1007\/s11701-019-00941-2"},{"key":"10.14639\/0392-100X-N0688_ref14","doi-asserted-by":"crossref","unstructured":"Persky MJ, Issa M, Bonfili JR, et al. Transoral surgery using the Flex Robotic System: initial experience in the United States. Head Neck 2018;40:2482-6. https\/\/doi.org\/10.1002\/hed.25375","DOI":"10.1002\/hed.25375"},{"key":"10.14639\/0392-100X-N0688_ref15","doi-asserted-by":"crossref","unstructured":"Mattheis S, Hasskamp P, Holtmann L, et al. Flex Robotic System in transoral robotic surgery: the first 40 patients. Head Neck 2017;39:471-5. https\/\/doi.org\/10.1002\/hed.24611","DOI":"10.1002\/hed.24611"},{"key":"10.14639\/0392-100X-N0688_ref16","doi-asserted-by":"crossref","unstructured":"Remacle M, Prasad VMN. Preliminary experience in transoral laryngeal surgery with a flexible robotic system for benign lesions of the vocal folds. Eur Arch Otorhinolaryngol 2018;275:761-5. https\/\/doi.org\/10.1007\/s00405-018-4900-0","DOI":"10.1007\/s00405-018-4900-0"},{"key":"10.14639\/0392-100X-N0688_ref17","doi-asserted-by":"crossref","unstructured":"Liederbach E, Lewis CM, Yao K, et al. A contemporary analysis of surgical trends in the treatment of squamous cell carcinoma of the oropharynx from 1998 to 2012: a report from the National Cancer Database. Ann Surg Oncol 2015;22:4422-31. https\/\/doi.org\/10.1245\/s10434-015-4560-x","DOI":"10.1245\/s10434-015-4560-x"},{"key":"10.14639\/0392-100X-N0688_ref18","doi-asserted-by":"crossref","unstructured":"Weinstein GS, O\u2019Malley BW Jr, Rinaldo A, et al. Understanding contraindications for transoral robotic surgery (TORS) for oropharyngeal cancer. Eur Arch Otorhinolaryngol 2015;272:1551-2. https\/\/doi.org10.1007\/s00405-014-3331-9","DOI":"10.1007\/s00405-014-3331-9"},{"key":"10.14639\/0392-100X-N0688_ref19","doi-asserted-by":"crossref","unstructured":"Lerner MZ, Tricoli M, Strome M. Abrasion and blunt tissue trauma study of a novel flexible robotic system in the porcine model. Am J Otolaryngol 2017;38:447-51. https\/\/doi.org\/10.1016\/j.amjoto.2017.04.002","DOI":"10.1016\/j.amjoto.2017.04.002"},{"key":"10.14639\/0392-100X-N0688_ref20","doi-asserted-by":"crossref","unstructured":"Friedrich DT, Scheithauer MO, Greve J, et al. Application of a computer-assisted flexible endoscope system for transoral surgery of the hypopharynx and upper esophagus. Eur Arch Otorhinolaryngol 2017;274:2287-93.https\/\/doi.org\/10.1007\/s00405-017-4498-7","DOI":"10.1007\/s00405-017-4498-7"},{"key":"10.14639\/0392-100X-N0688_ref21","doi-asserted-by":"crossref","unstructured":"Schuler PJ, Scheithauer M, Rotter N, et al. A single-port operator-controlled flexible endoscope system for endoscopic skull base surgery. HNO 2015;63:189-94. https\/\/doi.org\/10.1007\/s00106-014-2950-1","DOI":"10.1007\/s00106-014-2950-1"},{"key":"10.14639\/0392-100X-N0688_ref22","doi-asserted-by":"crossref","unstructured":"Friedrich DT, D\u00fcrselen L, Mayer B, et al. Features of haptic and tactile feedback in TORS-a comparison of available surgical systems. J Robot Surg 2018;12:103-8. https\/\/doi.org\/10.1007\/s11701-017-0702-4","DOI":"10.1007\/s11701-017-0702-4"}],"container-title":["Acta Otorhinolaryngologica Italica"],"original-title":[],"link":[{"URL":"https:\/\/www.actaitalica.it\/article\/view\/688","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T07:16:49Z","timestamp":1729667809000},"score":1,"resource":{"primary":{"URL":"https:\/\/old.actaitalica.it\/article\/view\/688"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2]]},"references-count":22,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,2]]}},"URL":"https:\/\/doi.org\/10.14639\/0392-100x-n0688","relation":{},"ISSN":["1827-675X"],"issn-type":[{"value":"1827-675X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2]]},"article-number":"4"}}