Single Port Tongue Cancer Surgery | Hackensack Meridian Health   

Antiques Shipper Gives Back After Single Port Tongue Cancer Surgery at John Theurer Cancer Center

Transoral robotic surgery allows surgeons to treat tongue cancer through the mouth — no incisions needed

When John Longo of Oakland, New Jersey, began to experience persistent pain in the back of his mouth, he thought it was caused by a dental infection. However, when the pain didn’t go away after he had a wisdom tooth pulled, he knew something more serious was going on.

After I had my tooth pulled, the pain was still there, and I developed a lump in my neck,” John says. “My doctors ran some tests, and I found out I had cancer.”

Head and Neck Surgery With Single Port Robotic Technology

After his diagnosis, John came to the John Theurer Cancer Center at Hackensack University Medical Center and met with cancer care experts, including Chan Park, M.D., an ear, nose and throat physician at Hackensack who specializes in robotic head and neck surgery.

John had a type of cancerous tumor called a squamous cell carcinoma at the base of his tongue, Dr. Park says.

John’s tumor was in part caused by human papillomavirus (HPV), which has been shown to cause cancer in the throat and base of the tongue. John’s cancer likely developed slowly over many years.

Dr. Park told John he was a candidate for transoral robotic surgery (TORS) using the da Vinci SP single port surgical system.

"The first thing I thought when I heard I needed head and neck surgery was, ‘They're going to break my jaw and cut my tongue, and I won’t be able to talk, and I'll have scars all over the place,” John says.

However, Dr. Park quickly assured John that invasive, disfiguring surgery would not be necessary, thanks to the robotic surgical system.

“During TORS, we don’t need to make any external incisions to remove tumors inside the mouth and throat,” Dr. Park says. “The small surgical instruments on the single port robotic surgical system come out of a single cannula that is inserted into the mouth. They can easily reach the back of the tongue and throat, where the human hand can’t fit.”

The single port robotic surgical system also includes a small camera that transmits an image of the surgical area to the surgical console where Dr. Park sits to operate the robot, giving him a 3D, high-definition, magnified view.

A successful surgery

All of these features proved to be beneficial during John’s procedure on October 11, 2019. In addition to successfully removing the tumor on the base of John’s tongue, Dr. Park also removed several lymph nodes in John’s neck, which required a very small incision.

“I only have a little scar on my neck where Dr. Park removed the lymph nodes near my jugular vein,” said John. “It looks like someone might have scratched me, and you’d never guess it was from surgery.” “The precision of the single port surgical system is a huge benefit during TORS procedures,” said Dr. Park. “I can operate in confined areas of the throat and base of tongue with precise movements, which lowers the risk of damage to nearby structures.”

Single Port Surgery Promotes Faster Healing

After surgery, John spent two days in the hospital. He was talking within a half-hour after the surgery and could eat a liquid diet that evening. As he continued to recover, the discomfort in his throat lessened, and he resumed a regular diet.

"Single port surgery promotes faster healing, which helps patients get back to swallowing faster and reduces the need for tracheostomy tubes or feeding tubes,” Dr. Park says.

Due to the aggressiveness of John’s cancer and the numerous lymph nodes involved, he underwent chemotherapy and radiation treatment. This adjuvant radiation treatment is at a lower dose and has fewer side effects than upfront primary radiation. It is often given to patients after TORS to improve survival in aggressive disease.

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