Transcervical arterial ligation for prevention of postoperative hemorrhage in transoral oropharyngectomy: Systematic review and meta-analysis
| Autor: | James Sullivan, Zach Zimmerman, Umamaheswar Duvvuri, William G. Albergotti, James Kenneth Byrd, Daniel D. Sharbel, Mary Abkemeier |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry Odds ratio Postoperative Hemorrhage Surgery 03 medical and health sciences Oropharyngeal Neoplasms 0302 clinical medicine Otorhinolaryngology Robotic Surgical Procedures 030220 oncology & carcinogenesis Meta-analysis Tumor stage Transoral robotic surgery Cohort medicine Humans Arterial ligation In patient 030223 otorhinolaryngology business Ligation |
| Zdroj: | HeadneckREFERENCES. 43(1) |
| ISSN: | 1097-0347 |
| Popis: | Background Transcervical arterial ligation has been studied as a useful procedure to prevent bleeding events after transoral robotic surgery (TORS). Methods A systematic review of English-language literature on arterial ligation in TORS from 2005 to 2019 was conducted using Cochrane, PubMed, Web of Science (WoS), and ScienceDirect databases. Studies evaluating ligation and rates of postoperative hemorrhage were included. Meta-analysis of included studies was performed to assess impact of ligation on postoperative hemorrhage. Results Five studies with 2008 patients were included. History of radiation (odds ratio [OR] = 2.26, P = .02) and advanced tumor stage (OR = 1.93, P = .02) were found to predispose patients to postoperative hemorrhage. Arterial ligation was protective against severe hemorrhage in the mixed primary surgical modality cohort (OR = 0.33, P = .03) and in the TORS-only subgroup (OR = 0.21, P = .02), but did not significantly impact overall odds of postoperative hemorrhage. Conclusion Transcervical arterial ligation offers protection against major/severe postoperative hemorrhage in patients undergoing TORS. Level of evidence II. |
| Databáze: | OpenAIRE |
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