LigaSure small jaw versus conventional neck dissection: a systematic review and meta-analysis
Abstract Background Neck dissection has a central role in the management of head and neck cancers. This systematic review aimed to compare the intraoperative and postoperative parameters between conventional and LigaSure Small Jaw (LSJ)-assisted neck dissection. Methods PubMed (MEDLINE), Embase, and...
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| Format: | Article |
| Language: | English |
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BMC
2021-03-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40463-021-00504-2 |
| _version_ | 1797970763012112384 |
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| author | Tai-Yu Chen Li-Jen Hsin Wan-Ni Lin Ming-Shao Tsai Yao-Te Tsai Yi-Chan Lee |
| author_facet | Tai-Yu Chen Li-Jen Hsin Wan-Ni Lin Ming-Shao Tsai Yao-Te Tsai Yi-Chan Lee |
| author_sort | Tai-Yu Chen |
| collection | DOAJ |
| description | Abstract Background Neck dissection has a central role in the management of head and neck cancers. This systematic review aimed to compare the intraoperative and postoperative parameters between conventional and LigaSure Small Jaw (LSJ)-assisted neck dissection. Methods PubMed (MEDLINE), Embase, and the Cochrane Library were searched. independently by two authors for relevant articles comparing the outcomes of conventional and LSJ-assisted neck dissection. Data from each study were extracted, and a random-effects model was used in the pooled analysis. Results Compared with conventional techniques, LSJ-assisted neck dissection was associated with a significantly reduced operative time. The rates of postoperative hematoma, infection, amount of intraoperative blood loss, the length of hospital stay and the drainage amount showed no significant intergroup differences. Conclusions The meta-analysis provides evidence that properly using LSJ may reduce the operative time compared with that of conventional techniques. Surgeons may consider using LSJ in neck dissection according to personal experiences. Graphical abstract |
| first_indexed | 2024-04-11T03:22:08Z |
| format | Article |
| id | doaj.art-055a2263694b41cdb4f071a817ae7c9f |
| institution | Directory Open Access Journal |
| issn | 1916-0216 |
| language | English |
| last_indexed | 2024-04-11T03:22:08Z |
| publishDate | 2021-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj.art-055a2263694b41cdb4f071a817ae7c9f2023-01-02T08:30:13ZengBMCJournal of Otolaryngology - Head and Neck Surgery1916-02162021-03-015011810.1186/s40463-021-00504-2LigaSure small jaw versus conventional neck dissection: a systematic review and meta-analysisTai-Yu Chen0Li-Jen Hsin1Wan-Ni Lin2Ming-Shao Tsai3Yao-Te Tsai4Yi-Chan Lee5Department of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial HospitalDepartment of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial HospitalDepartment of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial HospitalCollege of Medicine, Chang Gung UniversityCollege of Medicine, Chang Gung UniversityCollege of Medicine, Chang Gung UniversityAbstract Background Neck dissection has a central role in the management of head and neck cancers. This systematic review aimed to compare the intraoperative and postoperative parameters between conventional and LigaSure Small Jaw (LSJ)-assisted neck dissection. Methods PubMed (MEDLINE), Embase, and the Cochrane Library were searched. independently by two authors for relevant articles comparing the outcomes of conventional and LSJ-assisted neck dissection. Data from each study were extracted, and a random-effects model was used in the pooled analysis. Results Compared with conventional techniques, LSJ-assisted neck dissection was associated with a significantly reduced operative time. The rates of postoperative hematoma, infection, amount of intraoperative blood loss, the length of hospital stay and the drainage amount showed no significant intergroup differences. Conclusions The meta-analysis provides evidence that properly using LSJ may reduce the operative time compared with that of conventional techniques. Surgeons may consider using LSJ in neck dissection according to personal experiences. Graphical abstracthttps://doi.org/10.1186/s40463-021-00504-2LigaSure vessel sealing systemLigaSure small jawElectrothermal bipolar vessel sealingNeck dissectionNeck lymphadenectomy |
| spellingShingle | Tai-Yu Chen Li-Jen Hsin Wan-Ni Lin Ming-Shao Tsai Yao-Te Tsai Yi-Chan Lee LigaSure small jaw versus conventional neck dissection: a systematic review and meta-analysis Journal of Otolaryngology - Head and Neck Surgery LigaSure vessel sealing system LigaSure small jaw Electrothermal bipolar vessel sealing Neck dissection Neck lymphadenectomy |
| title | LigaSure small jaw versus conventional neck dissection: a systematic review and meta-analysis |
| title_full | LigaSure small jaw versus conventional neck dissection: a systematic review and meta-analysis |
| title_fullStr | LigaSure small jaw versus conventional neck dissection: a systematic review and meta-analysis |
| title_full_unstemmed | LigaSure small jaw versus conventional neck dissection: a systematic review and meta-analysis |
| title_short | LigaSure small jaw versus conventional neck dissection: a systematic review and meta-analysis |
| title_sort | ligasure small jaw versus conventional neck dissection a systematic review and meta analysis |
| topic | LigaSure vessel sealing system LigaSure small jaw Electrothermal bipolar vessel sealing Neck dissection Neck lymphadenectomy |
| url | https://doi.org/10.1186/s40463-021-00504-2 |
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