References
1. Finegersh A, Vohra RS, Panuganti B, et al. Robotic surgery may improve overall survival for T1 and T2 tumors of the hypopharynx: An NCDB cohort study. Oral Uncool. 2021; 121:105440. doi:10.1016/j.oraloncology.2021.105440
2. Ferrari D, Bernard D, Simony S, Lazaro V, Asti E, Eonavian L. Esophageal Lipoma and Lip sarcoma: A Systematic Review. World J Surg. 2021; 45(1):225-234. Doi: 10.1007/s00268-020-05789-
3. Fujiwara K, Koyama S, Donnish R, Bukhara T, Miyake N, Takeuchi H. Preoperative predictors of difficult hypopharyngeal exposure by retractor for transoral robotic surgery. Into J Clan Uncool. 2019; 24(1):53-59. Doi: 10.1007/s10147-018-1335-y
4. Mendelsohn AH, Lawson G. Single-port transoral robotic surgery hypopharyngectomy. Head Neck. 2021;43(10):3234-3237. doi:10.1002/hed.26794
5. Hinni M, Lott D. Contemporary Transoral Surgery for Primary Head and Neck Cancer. ProtoView. 2014;1(41).
Figure 1 Legend
Computer tomography scan demonstrating a fatty mass (2.4 x 2.6 x 3.8 cm) extending from the level of the cricoid cranially into the cervical esophageal wall caudally. Location of the lipoma indicated by the white arrow.
Figure 2 Legend
Intraoperative stills obtained at different portions of the surgery. A) The mass is dissected free of the adjacent post-cricoid mucosa and splayed cricopharyngeal muscular fibers. B) Maryland bipolar forceps are used to retract the lipoma laterally (indicated by white arrow), while two other instruments are used to continue dissecting the mass from the adjacent mucosa. C) The wound is closed primarily with 3-0 Monocryl barbed suture.
Figure 3 Legend
Ex vivo still of the lipoma, resected nearly completely en bloc.