We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Effect of transcervical arterial ligation on the severity of postoperative hemorrhage after transoral robotic surgery.
- Authors
Kubik, Mark; Mandal, Rajarsi; Albergotti, William; Duvvuri, Umamaheswar; Ferris, Robert L.; Kim, Seungwon
- Abstract
ABSTRACT Background The value of transcervical arterial ligation during transoral robotic surgery (TORS) as a measure to decrease postoperative bleeding incidence or severity is unclear. Methods A retrospective single institution study was performed to identify risk factors for hemorrhage after TORS for oropharyngeal squamous cell carcinoma (SCC). Results 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%; p = .84). However, arterial ligation significantly reduced the incidence of major and severe bleeding events (1.3% vs 7.8%; p = .04). Radiation before TORS was a risk factor for major and severe postoperative hemorrhage ( p < .02). Conclusion Transcervical arterial ligation during TORS may reduce the severity of postoperative hemorrhagic events. © 2017 Wiley Periodicals, Inc. Head Neck 39: 1510-1515, 2017
- Subjects
HEMORRHAGE; SURGICAL robots; OPERATIVE surgery; POSTOPERATIVE care; OROPHARYNGEAL cancer; CANCER treatment; SQUAMOUS cell carcinoma
- Publication
Head & Neck, 2017, Vol 39, Issue 8, p1510
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.24677