Carotid body tumour resection with LigaSure device
| Autor: | Verónica Villavicencio-Valencia, Kuauhyama Luna-Ortiz, Tania Carmona-Luna, Ana María Cano-Valdez, Angel Herrera Gómeza |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Carotid Artery Common Blood Loss Surgical Carotid Body Tumor Severity of Illness Index Resection Intraoperative Period Statistical significance medicine Electrocoagulation Humans Carotid body tumour In patient Prospective Studies Prospective cohort study Intraoperative Complications Ligation Aged Hypoglossal Nerve Injuries business.industry Postoperative complication General Medicine Nerve injury Middle Aged Surgery Tumor Burden medicine.anatomical_structure Vagus Nerve Injuries Female medicine.symptom business Vascular Surgical Procedures Artery |
| Zdroj: | Acta otorrinolaringologica espanola. 61(1) |
| ISSN: | 1988-3013 |
| Popis: | Objective We carried out this study in patients who underwent resection of carotid body tumour (CBT). Shamblin's classification system was used, as well as the modified Shamblin classification. We sought to determine whether surgical time and bleeding could be reduced with the use of the LigaSure® system. Methods A prospective study was carried out in patients with CBT. Results A decrease in both time and bleeding was shown, although only overall time showed statistical significance. Cases were classified as Shamblin I, II and III in two, six, and four cases, respectively, and after surgical treatment were classified as modified Shamblin I, II, IIIa and IIIb in two, one, and six cases, respectively, by infiltration to the carotid. There was nerve damage in four cases, and there were three carotid resections. Conclusions Use of LigaSure® decreased bleeding and surgical time in CBTs. Lesions of the artery are mainly caused by infiltration or by muscular hypotrophy of the artery, which frequently requires vascular reconstruction. Nerve injury continues to be an important postoperative complication, which may result in a reduction in the quality of life for the patient. The rates of nerve injury as a result of surgery were unchanged. |
| Databáze: | OpenAIRE |
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