Transoral surgery was the most common access route (42/64, 65.6%), followed by transoral plus transcervical (12/64, 18.8%), transcervical alone (5/64, 7.8%), and retroauricular access (5/64, 7.8%).
Surgeon 1 performed 51 cases with a higher prevalence of malignant disease and older patients.
Surgeon 2 performed 13 cases, all through a transoral approach, mainly for benign lesions.
Stable patterns in surgeon distribution and pathology were observed over time.
Interpretation:
Limitations:
Single-institution study may limit generalizability.
Retrospective design may introduce selection bias.
Conclusion:
The transition to the da Vinci SP platform was successfully achieved, with broad adoption across various head and neck indications.
