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Utility of the LigaSure vessel sealing system during major head and neck cancer surgery

Published online by Cambridge University Press:  15 June 2012

N Fakhry ,
J Michel ,
L Santini ,
A Lagier ,
F Turner ,
P Dessi  and
A Giovanni
J Michel
Affiliation:
Service ORL et Chirurgie Cervico-Faciale, Centre Hospitalier Universitaire La Timone, Marseille, France
L Santini
Affiliation:
Service ORL et Chirurgie Cervico-Faciale, Centre Hospitalier Universitaire La Timone, Marseille, France
A Lagier
Affiliation:
Service ORL et Chirurgie Cervico-Faciale, Centre Hospitalier Universitaire La Timone, Marseille, France
F Turner
Affiliation:
Service ORL et Chirurgie Cervico-Faciale, Centre Hospitalier Universitaire La Timone, Marseille, France
P Dessi
Affiliation:
Service ORL et Chirurgie Cervico-Faciale, Centre Hospitalier Universitaire La Timone, Marseille, France
A Giovanni
Affiliation:
Service ORL et Chirurgie Cervico-Faciale, Centre Hospitalier Universitaire La Timone, Marseille, France
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Abstract

Objective:

To evaluate the haemostatic efficacy and safety of the LigaSure vessel sealing system in major head and neck cancer surgery.

Methods:

This two-year, prospective study included 34 patients who underwent major head and neck cancer surgery at a university hospital. The LigaSure Precise handpiece and LigaSure 8 vessel sealing system were utilised as the primary means of haemostasis, except when sealing vessels larger than 7 mm in diameter. Surgical outcomes were evaluated. In addition, in each patient the diameter of the largest vein and artery sealed (all were >2 mm) was measured before sealing.

Results:

In all cases except one (33/34 patients), a sutureless technique was performed. Post-operative bleeding was observed in two cases. Thirty veins and 22 arteries were measured. The mean diameter of the largest sealed vein was 3.8 mm, while that of the largest sealed artery was 2.7 mm.

Conclusion:

Our experience indicates that the surgical technique described is safe and effective. The main advantages of the LigaSure system are that it simplifies the procedure and eliminates the need for clips and suture ligations.

Keywords

HemostasisSurgical Procedures, OperativeLarynxCarcinomaLigasure
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 8 , August 2012 , pp. 815 - 817
Copyright
Copyright © JLO (1984) Limited 2012

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Footnotes

Presented as a poster at the 1st Congress of the Confederation of the European ORL-HNS, 2–6 July 2011, Barcelona, Spain

References

1 Singh, P, O'Connell, D, Langille, M, Dziegielewski, P, Allegretto, M, Harris, J. LigaSure versus conventional hemostasis in thyroid surgery: prospective randomized controlled trial. J Otolaryngol Head Neck Surg 2010;39:378–84Google ScholarPubMed
2 Lachanas, VA, Hajiioannou, JK, Karatzias, GT, Filios, D, Koutsias, S, Mourgelas, C. Comparison of LigaSure vessel sealing system, harmonic scalpel, and cold knife tonsillectomy. Otolaryngol Head Neck Surg 2007;137:385–9CrossRefGoogle ScholarPubMed
3 Colella, G, Giudice, A, Vicidomini, A, Sperlongano, P. Usefulness of the LigaSure vessel sealing system during superficial lobectomy of the parotid gland. Arch Otolaryngol Head Neck Surg 2005;131:413–6CrossRefGoogle ScholarPubMed
4 Saint Marc, O, Cogliandolo, A, Piquard, A, Famà, F, Pidoto, RR. LigaSure vs clamp-and-tie technique to achieve hemostasis in total thyroidectomy for benign multinodular goiter: a prospective randomized study. Arch Surg 2007;142:150–6CrossRefGoogle ScholarPubMed
5 Yao, HS, Wang, Q, Wang, WJ, Ruan, CP. Prospective clinical trials of thyroidectomy with LigaSure vs conventional vessel ligation: a systematic review and meta-analysis. Arch Surg 2009;144:1167–74CrossRefGoogle ScholarPubMed