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A comparison of short-term outcomes of neck dissection for head and neck cancers using thunderbeat, ligasure or treatment without an energy-based device: A case controlled study

International Journal of Surgery Oct 16, 2018

Suzuki K, et al. - In neck dissection (ND) for head and neck cancer, researchers assessed the effectiveness of the new energy-based device Thunderbeat by retrospectively examining 95 consecutive patients who had ND for head and neck squamous cell carcinoma between April 2013 and March 2018. They divided the patients into an ND without the energy-based device group, an ND using the LigaSure Small Jaw group, and an ND using the Thunderbeat Open Fine Jaw group. Outcomes suggest the potential of the Thunderbeat for reducing dissection time without increasing postoperative complication. In multivariate analysis, shorter dissection time was independently and significantly correlated with ND using the Thunderbeat, as well as elderly patients (70 years and over), less extensive surgery (3 or fewer neck levels), and absence of extracapsular invasion. Though not significant, incidence of postoperative complications in the LigaSure group (20%) tended to be higher than those in the other groups.

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