Abstract
BackgroundNeck 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.MethodsPubMed (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.ResultsCompared 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.ConclusionsThe 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.Graphical abstract
Highlights
IntroductionThis systematic review aimed to compare the intraoperative and postoperative parameters between conventional and LigaSure Small Jaw (LSJ)-assisted neck dissection
Neck dissection has a central role in the management of head and neck cancers
Study selection and data extraction The inclusion criteria were studies including patients with head and neck cancers who underwent neck dissection (ND), articles published in English, and studies comparing the outcomes of ND between the LigaSure Small Jaw (LSJ) and conventional techniques
Summary
This systematic review aimed to compare the intraoperative and postoperative parameters between conventional and LigaSure Small Jaw (LSJ)-assisted neck dissection. The standard form of neck dissection (ND) was proposed by Crile for the first time in 1906 [1]. Several modifications, such as modified radical ND, selective ND and extended ND, have been subsequently developed and employed as a central procedure in the management of head and neck cancer [1]. Careful dissection and ligation of vessels are both critical procedures in ND. LigaSure Small Jaw (LSJ), an energy-based device, is a bipolar vessel-sealing instrument that incorporates a tissue divider. The aim of the present study was to compare intraoperative and postoperative parameters between LSJ and conventional ND in the existing English literature
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