View in EDS HTML Full Text PDF Full Text

Risk factors for late postoperative bleeding after partial glossectomy for tongue cancer.

Saved in:
Bibliographic Details
Title: Risk factors for late postoperative bleeding after partial glossectomy for tongue cancer.
Authors: Matsui, Hidehito (AUTHOR), Mukaigawa, Takashi (AUTHOR), Goto, Seiya (AUTHOR), Okada, Shinichi (AUTHOR), Hiiragi, Yohei (AUTHOR), Wada, Kota (AUTHOR)
Source: Acta Oto-Laryngologica. Jan2024, Vol. 144 Issue 1, p76-81. 6p.
Subjects: Hemorrhage risk factors, Risk assessment, Squamous cell carcinoma, Glossectomy, Multiple regression analysis, Multivariate analysis, Retrospective studies, Chi-squared test, Descriptive statistics, Surgical complications, Odds ratio, Statistics, Tongue tumors, Data analysis software, Confidence intervals, Hemorrhage, Disease risk factors
Abstract (English): Partial glossectomy is the most common procedure for early-stage tongue cancer. Although late postoperative bleeding occasionally occurs, the associated risk factors have not been adequately identified. We aimed to investigate the rate and risk factors for late postoperative bleeding after transoral partial glossectomy with or without neck dissection for tongue cancer at our institution. We analysed 211 patients who had undergone transoral partial glossectomy between January 2016 and January 2023. The potential risk factors associated with late postoperative bleeding were investigated using univariate and multivariate logistic regression analyses. Of the 211 patients, 40 (19%) showed late postoperative bleeding, with 19 (9%) classified as grade IIIa (Clavien-Dindo classification). Regarding all grades, late postoperative bleeding was significantly higher in patients aged <70 years and in those with polyglycolic acid (PGA) sheets (p =.046 and.030, respectively). For grade ≥ IIIa, late postoperative bleeding was significantly higher in patients with a history of anticoagulant/platelet administration, a mucosal defect covered with fibrin glue and a PGA sheet (p =.045 and.026, respectively). The findings of this study suggest that primary closure decreases the frequency of late postoperative bleeding. [ABSTRACT FROM AUTHOR]
Abstract (Chinese): 部分舌切除术是早期舌癌最常见的手术。尽管术后出血偶尔会发生, 但相关的危险因素尚未得到充分识别。 我们的目的是调查在我院伴或不伴颈清扫术的经口部分舌切除术治疗舌癌的术后晚期出血的发生率和危险因素 我们分析了 211 名在2016年1月至2023年1月期间接受经口部分舌切除术的患者。使用单变量和多变量逻辑回归分析来研究与术后晚期出血相关的潜在危险因素。 在211 例患者中, 40 例(19%)出现术后晚期出血, 其中 19 例(9%)被归为IIIa 级(Clavien-Dindo 分类)。 对于所有级别, 年龄 小于70 岁的患者和带聚乙醇酸 (PGA) 片的患者的术后晚期出血率均较高(分别为p = 0.046 和 p = 0.030)。 对于 IIIa级及以上的患者, 术后晚期出血率在有抗凝剂/血小板给药史、用纤维蛋白胶和 PGA 覆盖的粘膜缺损的患者中明显较高(分别为 p =.045 和 p =.026)。 本研究的结果表明, 直接缝合可降低术后晚期出血的发生率。 [ABSTRACT FROM AUTHOR]
Copyright of Acta Oto-Laryngologica is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 176072853
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Risk factors for late postoperative bleeding after partial glossectomy for tongue cancer.
– Name: Author
  Label: Authors
  Group: Au
  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Matsui%2C+Hidehito%22&quot;&gt;Matsui, Hidehito&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Mukaigawa%2C+Takashi%22&quot;&gt;Mukaigawa, Takashi&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Goto%2C+Seiya%22&quot;&gt;Goto, Seiya&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Okada%2C+Shinichi%22&quot;&gt;Okada, Shinichi&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Hiiragi%2C+Yohei%22&quot;&gt;Hiiragi, Yohei&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Wada%2C+Kota%22&quot;&gt;Wada, Kota&lt;/searchLink&gt; (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Acta+Oto-Laryngologica%22&quot;&gt;Acta Oto-Laryngologica&lt;/searchLink&gt;. Jan2024, Vol. 144 Issue 1, p76-81. 6p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Hemorrhage+risk+factors%22&quot;&gt;Hemorrhage risk factors&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Risk+assessment%22&quot;&gt;Risk assessment&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Squamous+cell+carcinoma%22&quot;&gt;Squamous cell carcinoma&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Glossectomy%22&quot;&gt;Glossectomy&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Multiple+regression+analysis%22&quot;&gt;Multiple regression analysis&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Multivariate+analysis%22&quot;&gt;Multivariate analysis&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Retrospective+studies%22&quot;&gt;Retrospective studies&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Chi-squared+test%22&quot;&gt;Chi-squared test&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Descriptive+statistics%22&quot;&gt;Descriptive statistics&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Surgical+complications%22&quot;&gt;Surgical complications&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Odds+ratio%22&quot;&gt;Odds ratio&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Statistics%22&quot;&gt;Statistics&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Tongue+tumors%22&quot;&gt;Tongue tumors&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Data+analysis+software%22&quot;&gt;Data analysis software&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Confidence+intervals%22&quot;&gt;Confidence intervals&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Hemorrhage%22&quot;&gt;Hemorrhage&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Disease+risk+factors%22&quot;&gt;Disease risk factors&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Partial glossectomy is the most common procedure for early-stage tongue cancer. Although late postoperative bleeding occasionally occurs, the associated risk factors have not been adequately identified. We aimed to investigate the rate and risk factors for late postoperative bleeding after transoral partial glossectomy with or without neck dissection for tongue cancer at our institution. We analysed 211 patients who had undergone transoral partial glossectomy between January 2016 and January 2023. The potential risk factors associated with late postoperative bleeding were investigated using univariate and multivariate logistic regression analyses. Of the 211 patients, 40 (19%) showed late postoperative bleeding, with 19 (9%) classified as grade IIIa (Clavien-Dindo classification). Regarding all grades, late postoperative bleeding was significantly higher in patients aged &lt;70 years and in those with polyglycolic acid (PGA) sheets (p =.046 and.030, respectively). For grade ≥ IIIa, late postoperative bleeding was significantly higher in patients with a history of anticoagulant/platelet administration, a mucosal defect covered with fibrin glue and a PGA sheet (p =.045 and.026, respectively). The findings of this study suggest that primary closure decreases the frequency of late postoperative bleeding. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Chinese)
  Group: Ab
  Data: 部分舌切除术是早期舌癌最常见的手术。尽管术后出血偶尔会发生, 但相关的危险因素尚未得到充分识别。 我们的目的是调查在我院伴或不伴颈清扫术的经口部分舌切除术治疗舌癌的术后晚期出血的发生率和危险因素 我们分析了 211 名在2016年1月至2023年1月期间接受经口部分舌切除术的患者。使用单变量和多变量逻辑回归分析来研究与术后晚期出血相关的潜在危险因素。 在211 例患者中, 40 例(19%)出现术后晚期出血, 其中 19 例(9%)被归为IIIa 级(Clavien-Dindo 分类)。 对于所有级别, 年龄 小于70 岁的患者和带聚乙醇酸 (PGA) 片的患者的术后晚期出血率均较高(分别为p = 0.046 和 p = 0.030)。 对于 IIIa级及以上的患者, 术后晚期出血率在有抗凝剂/血小板给药史、用纤维蛋白胶和 PGA 覆盖的粘膜缺损的患者中明显较高(分别为 p =.045 和 p =.026)。 本研究的结果表明, 直接缝合可降低术后晚期出血的发生率。 [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: &lt;i&gt;Copyright of Acta Oto-Laryngologica is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=176072853
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/00016489.2024.2310695
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 6
        StartPage: 76
    Subjects:
      – SubjectFull: Hemorrhage risk factors
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Squamous cell carcinoma
        Type: general
      – SubjectFull: Glossectomy
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Multivariate analysis
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Surgical complications
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Tongue tumors
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Hemorrhage
        Type: general
      – SubjectFull: Disease risk factors
        Type: general
    Titles:
      – TitleFull: Risk factors for late postoperative bleeding after partial glossectomy for tongue cancer.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Matsui, Hidehito
      – PersonEntity:
          Name:
            NameFull: Mukaigawa, Takashi
      – PersonEntity:
          Name:
            NameFull: Goto, Seiya
      – PersonEntity:
          Name:
            NameFull: Okada, Shinichi
      – PersonEntity:
          Name:
            NameFull: Hiiragi, Yohei
      – PersonEntity:
          Name:
            NameFull: Wada, Kota
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 01
              Text: Jan2024
              Type: published
              Y: 2024
          Identifiers:
            – Type: issn-print
              Value: 00016489
          Numbering:
            – Type: volume
              Value: 144
            – Type: issue
              Value: 1
          Titles:
            – TitleFull: Acta Oto-Laryngologica
              Type: main
ResultId 1