Clinical Report: Robotic-Assisted Neck Dissection via Submental Approach (SARAND)

Overview

This cadaver study evaluates the feasibility of a robotic-assisted neck dissection technique via a submental approach, termed SARAND. The findings indicate that SARAND facilitates bilateral neck dissection through a minimally invasive incision.

Background

Robotic-assisted surgeries have transformed head and neck surgical procedures, particularly for tumors in the upper aerodigestive tract. Traditional neck dissections are associated with significant morbidity, prompting the exploration of minimally invasive alternatives. The SARAND technique aims to minimize tissue trauma and improve cosmetic outcomes.

Data Highlights

This study utilized three fresh-frozen human cadavers to evaluate the SARAND technique through a series of cadaveric resections conducted under simulated operating room conditions.

Key Findings

• SARAND allows for bilateral neck dissection through a single submental incision, reducing the size of the neck incision compared to traditional methods.
• The technique minimizes tissue trauma by creating a subplatysmal working space above the hyoid bone and thyroid cartilage.
• SARAND is distinct from the RESA procedure, as it does not require hyoid bone resection and focuses on lateral cervical compartments.
• The feasibility of SARAND was demonstrated using both da Vinci Xi and da Vinci SP surgical systems.

Clinical Implications

Further studies are needed to evaluate the clinical application and outcomes of the SARAND technique in live patients.

Conclusion

The SARAND technique demonstrates feasibility for robotic-assisted neck dissection via a submental approach.

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