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Submandibular sialoadenectomy with local anesthesia in the era of minimally invasive surgery
Tam-Lin Chow1, Tony Tung-Fei Chan, Chi-Yee Choi
1Division of Head and Neck Surgery, Department of Surgery, United Christian Hospital, Hong Kong. tamlinc@yahoo.com
Objective:
To assess the feasibility and advantages of submandibular sialoadenectomy under local anesthesia.
Study Design:
Retrospective clinical study.
Subjects And Methods:
Twenty patients with benign submandibular masses underwent submandibular sialoadenectomy. The procedure was carried out under local anesthesia (LA) in 12 patients and general anesthesia (GA) in 8 patients. The patient and tumor characteristics, as well as treatment outcome or complications, were compared between the two groups.
Results:
There was no conversion from LA to GA. Nine patients in the LA group could be discharged as day-case surgery versus none in the GA group, P = 0.001. The postoperative hospital stay was also much shorter in the LA group: 0.4 day vs 2.0 days, P < 0.001. Postoperative vomiting occurred in only two of the eight patients of the GA group. Complication rate was similar.
Conclusion:
Submandibular sialoadenectomy under local anesthesia is feasible. It can shorten the hospital stay and facilitate day-case surgery.
