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LigaSure versus Conventional Parotidectomy: A Systematic Review and Meta-Analysis
Sonia Wei-Ting Chen1,2, Li-Jen Hsin2,3, Wan-Ni Lin2,3
1Department of Otolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital, Keelung 20401, Taiwan.
Healthcare (Basel, Switzerland)
|April 23, 2022
Summary
The LigaSure (LS) device significantly reduces operative time for parotidectomy compared to conventional suture ligation (CT). Postoperative complication rates were similar between the LS and CT groups, indicating LS is a safe and effective tool for parotid surgery.
Area of Science:
- Surgical Oncology
- Otolaryngology
- Vascular Surgery
Background:
- Parotidectomy is the standard surgical treatment for parotid tumors.
- Conventional suture ligation (CT) is a common hemostasis technique.
- The LigaSure (LS) device offers an alternative energy-based sealing method.
Purpose of the Study:
- To compare the efficacy and safety of the LigaSure (LS) device versus conventional suture ligation (CT) in parotidectomy.
- To evaluate differences in operative time and postoperative complications between the two techniques.
Main Methods:
- A meta-analysis of five studies comparing LS and CT in parotidectomy.
- Literature search conducted in EMBASE, MEDLINE, and Cochrane Library.
- Intraoperative (operative time) and postoperative (complications) parameters were analyzed.
Main Results:
- The LigaSure (LS) group showed a significant reduction in operative time (MD: -21.92 minutes).
- No significant differences were observed in permanent facial palsy, temporary facial palsy, salivary complications, or postoperative bleeding between LS and CT groups.
- Pooled analysis of complication rates (RDs) demonstrated similar outcomes for both techniques.
Conclusions:
- The LigaSure (LS) device is a safe and useful tool for parotidectomy.
- Utilizing the LS device can lead to a shorter operative time in patients undergoing parotidectomy.
- The incidence of key postoperative complications remains comparable between LS and conventional methods.
