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- Title
Efficacy of stapler pharyngeal closure after total laryngectomy: A systematic review.
- Authors
Aires, Felipe T.; Dedivitis, Rogério A.; Castro, Mario Augusto F.; Bernardo, Wanderley Marques; Cernea, Claudio Roberto; Brandão, Lenine Garcia
- Abstract
Background Some primary studies compare manual and mechanical pharyngeal closures after total laryngectomy. The purpose of this study was to evaluate the advantages of the mechanical suture in pharyngeal closure. Methods The literature survey included research in MEDLINE, EMBASE, and LILACS. The intervention analyzed was stapler-assisted pharyngeal closure, whereas the control group was manual suture pharyngeal closure. Results The survey resulted in 319 studies. However, 4 studies were selected (417 patients). In the group of patients in whom the stapler was used, the incidence of pharyngocutaneous fistula was 8.7%, whereas in the other, it was 22.9%, with an absolute risk reduction of 15% (95% confidence interval [CI], 0.02-0.28; p = .02; I2 = 66%). Regarding the surgical time, the average difference was 80 minutes in favor of the stapler group (95% CI, 23.16-136.58 minutes; p < .006). Conclusion The difference for starting oral feeding was 8 days in favor of the mechanical suture (95% CI, 4.01-11.73 days; p < .001). Patients who underwent mechanical suture had a shorter hospitalization period. © 2013 Wiley Periodicals, Inc. Head Neck 36: 739-742, 2014
- Subjects
STAPLERS (Surgery); SUTURING; SUTURES; META-analysis; CUTANEOUS glands; LARYNGECTOMY; THERAPEUTICS; TUMORS
- Publication
Head & Neck, 2014, Vol 36, Issue 5, p739
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.23326