Hemorrhage following transoral robotic surgery (TORS).

Hemorrhage following transoral robotic surgery (TORS).

Clin Otolaryngol. 2017 Dec 01;:

Authors: Hay A, Migliacci J, Karassawa Zanoni D, Boyle JO, Singh B, Wong RJ, Patel SG, Ganly I

Abstract
BACKGROUND: To report our experience of postoperative hemorrhage in patients following transoral robotic surgery (TORS).
METHODS: Data was collected on patients having TORS. Postoperative hemorrhage within 30 days was graded using the Mayo clinic grading system.
RESULTS: TORS operations were performed on 122 patients. There were 23 bleeding events classified as minor to severe following 19 operations (16%). Hemorrhage requiring a return to the operating room occurred after 7 operations (6%). The odds of an emergent hemorrhage was 5.19 times greater in patients that had a staged neck dissection after TORS (p= 0.05). The odds of a postoperative bleeding event were 2.6 times greater in patients receiving a larger resection (p=0.107). There were no hemorrhage events in the 36 patients who received a synchronous neck dissection with transcervical ligation of the external carotid artery.
CONCLUSIONS: Surgical intervention for TORS hemorrhage occurred in 6% patients. No haemorrhage occurred in patients who had ligation of the external carotid artery. This article is protected by copyright. All rights reserved.

PMID: 29194991 [PubMed - as supplied by publisher]

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