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A comparison of electrothermal bipolar vessel sealing system and electrocautery in selective neck dissection

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Abstract

The use of LigaSure™ vessel sealing system in head and neck surgery was reported to be reliable and safe, providing sufficient hemostasis and reducing operating time. The aim of this study was to evaluate efficacy of this technique in patients undergoing selective neck dissections. This study was carried out as a prospective controlled study at an otolaryngology department of a tertiary medical center between July 2013 and July 2015. Twenty-five patients older than 18 years who underwent unilateral selective neck dissection for head and neck cancer were included in the study. In the control group (group 2, 10 patients) only monopolar and bipolar diathermy was used; in the Ligasure group (group 1, 15 patients) Ligasure was used for hemostasis and dissection in addition to the conventional techniques. Cervical lymphadenectomy time, operation time, preoperative hemoglobin levels, preoperative hematocrit levels, postoperative hemoglobin levels, postoperative hematocrit levels, total neck drainage and drain removal time were analyzed and compared between the groups. Median operation time in group 1 and 2 were 95 min (IQR = 35) and 142.5 min (IQR = 63), respectively. Median cervical lymphadenectomy time in group 1 and 2 were 55 min (IQR = 23) and 102.5 min (IQR = 49), respectively. Median operation time and cervical operation time were significantly lower in group 1 (p < 0.05). In conclusion, LigaSure™ vessel sealing system is a safe, efficacious technique and significantly lowers cervical lymphadenectomy and operation time in selective neck dissections compared to controls. Given the superb hemostatic properties, this technique should be in the surgeon’s armamentarium when possible.

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Authors and Affiliations

  1. Otolaryngology Department, Ege University School of Medicine, 35100, Izmir, Turkey

    Kerem Ozturk, Isa Kaya, Goksel Turhal, Arin Ozturk & Serdar Akyildiz

  2. Merzifon Karamustafa Paşa State Hospital, Merzifon, 05300, Amasya, Turkey

    Gulce Gursan

Authors
  1. Kerem Ozturk
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  2. Isa Kaya
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  3. Goksel Turhal
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  4. Arin Ozturk
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  5. Gulce Gursan
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  6. Serdar Akyildiz
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Correspondence to Goksel Turhal.

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None of the authors has declared any conflict of interest (financial or non-financial).

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Ozturk, K., Kaya, I., Turhal, G. et al. A comparison of electrothermal bipolar vessel sealing system and electrocautery in selective neck dissection. Eur Arch Otorhinolaryngol 273, 3835–3838 (2016). https://doi.org/10.1007/s00405-016-3999-0

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  • DOI: https://doi.org/10.1007/s00405-016-3999-0

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