Author/Editor		Gozzetti, G; Mazziotti, A; Grazi, GL; Jovine, E; Gallucci, A; Gruttadauria, S; Frena, A; Morganti, M; Ercolani, G; Pierangeli, F
Title		Liver resections without blood transfusions
Type		članek
Source		In: Markovič S, Gadžijev EM, Sojar V, editors. Book of lectures and abstracts of 3rd postgraduate course in hepatology and 3rd postgraduate course in hepatobiliary surgery; 1995 Jun 19-23; Ljubljana. Ljubljana: Faculty of medicine,
Publication year		1995
Volume		str. 174-88
Language		eng
Abstract		A retrospective study was carried out on 522 "elective" liver resections to ascertain the feasibility of liver surgery without blood transfusion on the immediate postoperative outcome and on long-term survival. The tendency to carry out liver resections without transfusions has constantly increased in recent years, thanks to the improvement of surgical techniques with less blood loss during the operation and due to the effect of a more careful choice of the timing of the transfusion. In the resections carried out in the last five years, the indication to perform intraoperative transfusions is much more restrictive and the decision is made jointly by the surgeons and anaesthetists, and in any case only if the haematocrit value is below 25%. Of the resections carried out in the last two years, 59% did not require intraoperative transfusions. Post-operative mortality and complications were correlated with the transfusions showed how the blood transfusion also affected the long-term survival of patients operated on for hepatocellular carcinoma and for colorectal carcinoma metastases in univariate analysis and were the only factor correlated with survival in hepatocellular carcinoma on cirrhosis in multivariate analysis.
Descriptors		HEPATECTOMY BLOOD TRANSFUSION SURVIVAL ANALYSIS