Effect of transcervical arterial ligation on the severity of postoperative hemorrhage after transoral robotic surgery

Mark Kubik, Rajarsi Mandal, William Greer Albergotti, Umamaheswar Duvvuri, Robert L. Ferris, Seungwon Kim

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)1510-1515
Number of pages6
JournalHead and Neck
Volume39
Issue number8
DOIs
StatePublished - Aug 2017
Externally publishedYes

Keywords

  • arterial ligation
  • hemorrhage
  • robotic surgery
  • transoral robotic surgery (TORS)

ASJC Scopus subject areas

  • Otorhinolaryngology

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