Haemorrhage following transoral robotic surgery Journal Article
| Authors: | Hay, A.; Migliacci, J.; Karassawa Zanoni, D.; Boyle, J. O.; Singh, B.; Wong, R. J.; Patel, S. G.; Ganly, I. |
| Article Title: | Haemorrhage following transoral robotic surgery |
| Abstract: | Background: To report our experience of postoperative haemorrhage in patients following transoral robotic surgery (TORS). Methods: Data were collected on patients having TORS. Postoperative haemorrhage within 30 days was graded using the Mayo Clinic grading system. Results: Transoral robotic surgery operations were performed on 122 patients. There were 23 bleeding events classified as minor to severe following 19 operations (16%). Haemorrhage requiring a return to the operating room occurred after 7 operations (6%). The odds of an emergent haemorrhage were 5.19 times greater in patients who had a staged neck dissection after TORS (P =.05). The odds of a postoperative bleeding event were 2.6 times greater in patients receiving a larger resection (P =.107). There were no haemorrhage events in the 36 patients who received a synchronous neck dissection with transcervical ligation of the external carotid artery. Conclusions: Surgical intervention for TORS haemorrhage occurred in 6% patients. No haemorrhage occurred in patients who had ligation of the external carotid artery. © 2017 John Wiley & Sons Ltd |
| Keywords: | complications; robotic; predictors; haemorrhage; transoral robotic surgery |
| Journal Title: | Clinical Otolaryngology |
| Volume: | 43 |
| Issue: | 2 |
| ISSN: | 1749-4478 |
| Publisher: | Blackwell Publishing |
| Date Published: | 2018-04-01 |
| Start Page: | 638 |
| End Page: | 644 |
| Language: | English |
| DOI: | 10.1111/coa.13041 |
| PROVIDER: | scopus |
| PMCID: | PMC5851834 |
| PUBMED: | 29194991 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 2 April 2018 -- Source: Scopus |
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