Neck Dissection with Harmonic Instruments and Electrocautery: A Systematic Review.

IF 1 Q3 OTORHINOLARYNGOLOGY International Archives of Otorhinolaryngology Pub Date : 2024-02-05 eCollection Date: 2024-10-01 DOI:10.1055/s-0044-1779010

Rogério Aparecido Dedivitis, Leandro Luongo de Matos, Mario Augusto Ferrari Castro, Sílvia Migueis Picado Petrarolha, Luiz Paulo Kowalski

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Abstract

Introduction The harmonic scalpel (HS) is a technique introduced to reduce blood loss and intraoperative time during neck dissection (ND). Objective To compare the results of HS with traditional hemostasis in ND through a systematic review and metanalysis. Methods A computer-based strategy of systematic literature survey included research in the MEDLINE, EMBASE, and Cochrane Library databases from January 2007 up to August 2022. The survey strategy employed was [harmonic scalpel OR ultrasonic scalpel] AND neck dissection. Results There were 61 articles identified that addressed the use of HS in patients undergoing ND. From those, 10 randomized clinical trials were selected, comprising 264 cases of ND using HS and 262 cases of ND without HS. Conclusion The use of HS for ND significantly reduces the operative time, intraoperative bleeding, volume of draining fluid, and the number of ligatures.

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使用谐波器械和电烧进行颈部解剖：系统综述。

引言谐波手术刀（HS）是为减少颈部解剖（ND）术中失血量和缩短术中时间而引入的一种技术。目的通过系统综述和荟萃分析比较谐波刀与传统止血法在 ND 中的效果。方法采用基于计算机的系统文献调查策略，纳入 2007 年 1 月至 2022 年 8 月期间 MEDLINE、EMBASE 和 Cochrane Library 数据库中的研究。采用的调查策略为[谐波手术刀或超声波手术刀]和颈部解剖。结果共发现 61 篇关于在接受 ND 的患者中使用 HS 的文章。从中筛选出 10 项随机临床试验，包括 264 例使用 HS 的 ND 和 262 例未使用 HS 的 ND。结论在 ND 中使用 HS 可显著减少手术时间、术中出血量、引流液量和结扎次数。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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