Effect of transcervical arterial ligation on the severity of postoperative hemorrhage after transoral robotic surgery
-
- Mark Kubik
- Department of Otolaryngology University of Pittsburgh Medical Center Pittsburgh Pennsylvania
-
- Rajarsi Mandal
- Department of Surgery Head and Neck Service, Memorial Sloan Kettering Cancer Center New York New York
-
- William Albergotti
- Department of Otolaryngology University of Pittsburgh Medical Center Pittsburgh Pennsylvania
-
- Umamaheswar Duvvuri
- Department of Otolaryngology University of Pittsburgh Medical Center Pittsburgh Pennsylvania
-
- Robert L. Ferris
- Department of Otolaryngology University of Pittsburgh Medical Center Pittsburgh Pennsylvania
-
- Seungwon Kim
- Department of Otolaryngology University of Pittsburgh Medical Center Pittsburgh Pennsylvania
説明
<jats:title>ABSTRACT</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>The value of transcervical arterial ligation during transoral robotic surgery (TORS) as a measure to decrease postoperative bleeding incidence or severity is unclear.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>A retrospective single institution study was performed to identify risk factors for hemorrhage after TORS for oropharyngeal squamous cell carcinoma (SCC).</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Overall, 13.2% of patients (35/265) experience postoperative hemorrhage. T classification, perioperative use of anticoagulants, surgeon experience >50 cases, and tumor subsite were not predictors of postoperative hemorrhage. Of this cohort, 28% underwent prophylactic arterial ligation. The overall incidence of bleeding was not significantly decreased in patients who underwent arterial ligation (12.1% vs 13.6%; <jats:italic>p</jats:italic> = .84). However, arterial ligation significantly reduced the incidence of major and severe bleeding events (1.3% vs 7.8%; <jats:italic>p</jats:italic> = .04). Radiation before TORS was a risk factor for major and severe postoperative hemorrhage (<jats:italic>p</jats:italic> < .02).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Transcervical arterial ligation during TORS may reduce the severity of postoperative hemorrhagic events. © 2017 Wiley Periodicals, Inc. <jats:italic>Head Neck</jats:italic> <jats:bold>39:</jats:bold> 1510–1515, 2017</jats:p></jats:sec>
収録刊行物
-
- Head & Neck
-
Head & Neck 39 (8), 1510-1515, 2017-06
Wiley
