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Haemorrhage following transoral robotic surgery
Author(s) -
Hay A.,
Migliacci J.,
Karassawa Zai D.,
Boyle J.O.,
Singh B.,
Wong R.J.,
Patel S.G.,
Ganly I.
Publication year - 2018
Publication title -
clinical otolaryngology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.914
H-Index - 68
eISSN - 1749-4486
pISSN - 1749-4478
DOI - 10.1111/coa.13041
Subject(s) - medicine , transoral robotic surgery , surgery , ligation , neck dissection , odds ratio , dissection (medical) , cancer
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.