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- Title
Haemorrhage following transoral robotic surgery.
- Authors
Hay, A.; Migliacci, J.; Karassawa Zanoni, D.; Boyle, J. O.; Singh, B.; Wong, R. J.; Patel, S. G.; Ganly, I.
- Abstract
Background: To report our experience of postoperative haemorrhage in patients following transoral robotic surgery (TORS). Methods: Data were collected on patients having TORS. Postoperative haemorrhage within 30 days was graded using the Mayo Clinic grading system. Results: Transoral robotic surgery operations were performed on 122 patients. There were 23 bleeding events classified as minor to severe following 19 operations (16%). Haemorrhage requiring a return to the operating room occurred after 7 operations (6%). The odds of an emergent haemorrhage were 5.19 times greater in patients who had a staged neck dissection after TORS (<italic>P</italic> = .05). The odds of a postoperative bleeding event were 2.6 times greater in patients receiving a larger resection (<italic>P</italic> = .107). There were no haemorrhage events in the 36 patients who received a synchronous neck dissection with transcervical ligation of the external carotid artery. Conclusions: Surgical intervention for TORS haemorrhage occurred in 6% patients. No haemorrhage occurred in patients who had ligation of the external carotid artery.
- Subjects
SURGICAL robots; SURGICAL blood loss; POSTOPERATIVE care; SURGERY safety measures; PATIENT safety
- Publication
Clinical Otolaryngology, 2018, Vol 43, Issue 2, p638
- ISSN
1749-4478
- Publication type
Article
- DOI
10.1111/coa.13041