One hundred consecutive hepatobiliary resections for biliary hilar malignancy: Preoperative blood donation, blood loss, transfusion, and outcome
One hundred consecutive hepatobiliary resections for biliary hilar malignancy: Preoperative blood donation, blood loss, transfusion, and outcome
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DOI：
10.1016/j.surg.2004.06.006
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发表时间：
2005-02-01
期刊：
影响因子：
3.8
通讯作者：
Nishio, H
中科院分区：
文献类型：
--
作者：
Nagino, M;Kamiya, J;Nishio, H
Background. Many reports on blood loss and transfusion requirements during hepatectomy for metastatic liver cancer or hepatocellular carcinoma have been published; however, there are no reports on these issues in hepatectomy for biliary hilar malignancy. The aim of this study was to review our experience with blood loss and perioperative blood requirements in 100 consecutive hepatectomies for biliary hilar malignancy.Methods. One hundred consecutive hepatectomies with en bloc resection of the caudate lobe and extrahepatic bile duct for hilar malignancies were performed, including 81 perihilar cholangiocarcinomas and 19 advanced gallbladder carcinomas involving the hepatic hilus. Fifty-eight hilar resections were combined with other organ and/or vascular resection. Data on preoperative blood donation, intraoperative blood loss, and perioperative transfusion were collected and analyzed.Results. Preoperative autologous blood donation was possible in 73 patients (3.4 +/- 1.2 U). Intraoperative blood loss was 1850 +/- 1000 mL (range, 677-5900 mL), and it was
