Department of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
College of Medicine, Chang Gung University, Taoyuan, Taiwan.
J Otolaryngol Head Neck Surg. 2021 Mar 29;50(1):21. doi: 10.1186/s40463-021-00504-2.
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.
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.
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.
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.
颈清扫术在头颈部癌症的治疗中起着核心作用。本系统评价旨在比较传统手术与 LigaSure Small Jaw（LSJ）辅助颈清扫术的术中及术后参数。
通过两位作者独立检索 PubMed（MEDLINE）、Embase 和 Cochrane Library，以比较传统手术与 LSJ 辅助颈清扫术的结果。从每项研究中提取数据，并使用随机效应模型进行汇总分析。
与传统技术相比，LSJ 辅助颈清扫术的手术时间明显缩短。术后血肿、感染、术中出血量、住院时间和引流量的发生率无显著组间差异。
荟萃分析提供的证据表明，与传统技术相比，正确使用 LSJ 可能会缩短手术时间。外科医生可以根据个人经验考虑在颈清扫术中使用 LSJ。
