Evidence map›Paper›PMID 29194991›Full record

ArticleClinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery2018

Haemorrhage following transoral robotic surgery.

A Hay, J Migliacci, D Karassawa Zanoni, J O Boyle, B Singh, R J Wong, S G Patel, I Ganly

Registry-linked trialAbstract read
In one paragraph

Article in Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05477992 (Haemorrhage Risk Reduction Using Endovascular Embolisation in Place of Vessel Ligation for Patients Undergoing Transoral Robotic Surgery), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05477992 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Haemorrhage Risk Reduction Using Endovascular Embolisation in Place of Vessel Ligation for Patients Undergoing Transoral Robotic Surgery (HELPR)

TypeinterventionalSponsorRoyal Marsden NHS Foundation TrustRan2022 to 2023Enrolled10ConditionsHead and Neck CancerArmsEndovascular embolization
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. External Carotid Artery Ligation Versus Selective Artery Ligation in Transoral Surgery for Oropharyngeal Cancer.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Article
  7. Observational
  8. Article
  9. Airway management during transoral robotic surgery for head and neck cancers: a French GETTEC group survey.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Transoral robotic surgery for angiomyxoma of upper alveolus.National journal of maxillofacial surgery
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

A HayDepartment of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-4666-836X
J MigliacciDepartment of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
D Karassawa ZanoniDepartment of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
J O BoyleDepartment of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
B SinghDepartment of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
R J WongDepartment of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
S G PatelDepartment of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
I GanlyDepartment of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundTo report our experience of postoperative haemorrhage in patients following transoral robotic surgery (TORS).

methodsData were collected on patients having TORS. Postoperative haemorrhage within 30 days was graded using the Mayo Clinic grading system.

resultsTransoral robotic surgery operations were performed on 122 patients. There were 23 bleeding events classified as minor to severe following 19 operations (16%). Haemorrhage requiring a return to the operating room occurred after 7 operations (6%). The odds of an emergent haemorrhage were 5.19 times greater in patients who had a staged neck dissection after TORS (P = .05). The odds of a postoperative bleeding event were 2.6 times greater in patients receiving a larger resection (P = .107). There were no haemorrhage events in the 36 patients who received a synchronous neck dissection with transcervical ligation of the external carotid artery.

conclusionsSurgical intervention for TORS haemorrhage occurred in 6% patients. No haemorrhage occurred in patients who had ligation of the external carotid artery.

Indexed as

AgedCarcinoma, Squamous CellFemaleHumansMaleMiddle AgedMouth NeoplasmsNeck DissectionNeoplasm StagingOtorhinolaryngologic NeoplasmsPostoperative HemorrhageRetrospective StudiesRobotic Surgical Procedurescomplicationshaemorrhagepredictorsrobotictransoral robotic surgery

Identifiers

PMID29194991
PMCPMC5851834
OpenAlexW2774647595

What OpenQuestion holds

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LicenceTDM
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.