Restrictive Pulmonary Dysfunction May Increase Blood Loss During Liver Resection

Background Restrictive pulmonary dysfunction (RPD) is a risk factor for perioperative complications during gastrointestinal surgery. We hypothesized that high airway pressure due to RPD results in increased intraoperative blood loss during liver surgery. Thus, we investigated the effects of RPD on p...

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Bibliographic Details
Published in:The American surgeon 2021-12, Vol.87 (12), p.1886-1892
Main Authors: Yoshikawa, Takahiro, Hokuto, Daisuke, Yasuda, Satoshi, Kamitani, Naoki, Matsuo, Yasuko, Sho, Masayuki
Format: Article
Language:English
Subjects:
Adult
Age
Aged
Aged, 80 and over
Anesthesia
Blood
Blood Loss, Surgical
Blood transfusions
Central Venous Pressure
Complications
Confidence intervals
Disease
Female
Hepatectomy
Hepatectomy - adverse effects
Hepatic vein
Hepatic Veins - physiopathology
Humans
Laparoscopy
Liver
Liver - surgery
Lung - physiopathology
Lung Diseases - complications
Lung Diseases - physiopathology
Lung Neoplasms - physiopathology
Lung Neoplasms - surgery
Male
Middle Aged
Multivariate analysis
Patients
Retrospective Studies
Risk analysis
Risk Factors
Spirometry
Surgery
Tumors
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Summary:Background Restrictive pulmonary dysfunction (RPD) is a risk factor for perioperative complications during gastrointestinal surgery. We hypothesized that high airway pressure due to RPD results in increased intraoperative blood loss during liver surgery. Thus, we investigated the effects of RPD on perioperative outcomes for liver resection. Methods This study included 496 patients who underwent curative liver resection at our hospital between April 2009 and April 2020. Perioperative outcomes for the RPD and control groups were compared. Restrictive pulmonary dysfunction was defined as % vital capacity
ISSN:0003-1348
1555-9823
DOI:10.1177/00031348211060425