LigaSure small jaw versus conventional neck dissection: a systematic review and meta-analysis

• Main Authors: Tai-Yu Chen, Li-Jen Hsin, Wan-Ni Lin, Ming-Shao Tsai, Yao-Te Tsai, Yi-Chan Lee
• Format: Article
• Language: English
• Published: BMC 2021-03-01
• Series: Journal of Otolaryngology - Head and Neck Surgery
• Subjects: LigaSure vessel sealing system; LigaSure small jaw; Electrothermal bipolar vessel sealing; Neck dissection; Neck lymphadenectomy
• Online Access: https://doi.org/10.1186/s40463-021-00504-2

Abstract Background 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. Methods 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. Results 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. Conclusions 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. Graphical abstract