Becoming a Trans-Oral Robotic Surgery (TORS) Patient

Because a primary care physician cannot determine the need for Trans-Oral Robotic Surgery (TORS),  you must ask your primary physician for a referral to our head and neck cancer department. Once you decide to have robotic surgery, our team will help you every step of the way. We will guide you through the pre-op process to make your experience as easy as possible.

At Loma Linda University Surgical Hospital, our Robotic and Minimally Invasive Surgery Center team works with you to so you will have the best possible outcome. Our medical team is made up of many world-class specialists and we are committed to addressing all of your health needs, including general fitness, cardiovascular health, quitting smoking and weight loss.

Our research has shown that by evaluating your overall health, your oral cancer survival rates are greatly improved.

What To Expect Prior To TORS Surgery

2-Weeks Before Surgery We Will Complete

  • Pre-operative testing
  • Chest x-ray
  • EKG Electrocardiogram to measure the electrical activity of the heartbeat
  • Biochemistry profile to measure a variety of chemicals and enzymes in the blood including electrolytes, blood urea nitrogen (BUN), and creatinine blood work
  • A test to check your Complete Blood Count (CBC)
  • PTT, a Partial Thrombopalstin Time, which is a blood test to measure how long it takes for the blood to clot (PT)

10 Days Before Surgery

To reduce the risk of excessive bleeding, stop taking

  • Aspirin or aspiring products
  • Motrin or other non-steroidal anti-inflammatory drugs
  • Coumadin, Warfarin or Plavix *
  • Gingko biloba
  • Garlic
  • Ginseng
  • Fish Oil
  • Dong quai
  • Feverfew
  • Vitamin E

To reduce cardiovascular risk, stop taking

  • Ephedra
  • Garlic

To avoid complications with anesthesia, stop taking

  • St. John’s Wort
  • Valerian Root
  • Kava

To avoid drug interactions, stop taking

  • Licorice
  • St. John’s wort
  • Kava
  • Valerian
  • Echinacea
  • Goldenseal

* You must talk to your doctor before you stop taking Coumadin, Warfarin or Plavix

Important Note: This list may not be complete. Therefore, if you’re taking anything else not included on this list, you must talk to your doctor about it at least two (2) weeks prior to your surgery.