Efficacy and safety of a vessel sealing system in oral cancer resection and reconstructive surgery

Abstract

Objective: Currently, many studies are being performed that focus on the efficacy and safety of the vessel sealing system (VSS) in various fields of surgery. However, in the field of oral cancer surgery, the efficacy and safety of VSS use have not been clarified.

Methods: One hundred and fifty-one patients underwent oral cancer resection and reconstructive surgery. They were divided into two groups: Ligasure vessel sealing system (LVSS) group and conventional surgery (CS) as control. Intra-operative blood loss, operating time, and incidence of post-operative complications and recurrence were analyzed.

Results: LVSS use significantly reduced intra-operative blood loss. The operating time was shortened only in mandibular gingiva cancer surgery. There were no differences between the two groups with regard to the incidence of post-operative complications and recurrence.

Conclusions: LVSS use was found to be effective and proved to be efficient and safe, and may be useful in oral cancer surgery.

Chinese abstract

目的：目前正在进行许多关于血管密封系统（VSS）在各个外科领域的功效和安全性。然而, 在口腔癌手术领域, VSS使用的有效性和安全性尚不明确。

方法：151例患者接受了口腔癌切除术和重建手术。他们分为两组：结扎速血管密封系统（LVSS）组和传统手术（CS）组作为对照。分析术中出血量、手术时间、术后并发症和复发率。

结果：LVSS的使用显著降低了术中失血量。手术时间仅在下颌牙龈癌手术中缩短。两组在术后并发症和复发率方面没有差异。

结论：我们发现, LVSS的使用是有作用的, 并且证明是有效和安全的, 可用于口腔癌手术。

Keywords:

• Oral cancer
• head and neck cancer
• vessel sealing system
• energy device
• ligasure

Disclosure statement

No potential conflict of interest was reported by the authors.