Two-surgeon technique of parenchymal transection contributes to reduced transfusion rate in patients undergoing major hepatectomy: Analysis of 1,557 consecutive liver resections

Background Blood transfusions are an independent risk factor for adverse outcomes after hepatectomy. In-hospital transfusions are still reported in one third of patients in major series. Data on factors affecting blood transfusions in large series of liver resection are limited. The aim of this stud...

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Bibliographic Details
Published in:Surgery 2010, Vol.147 (1), p.40-48
Main Authors: Palavecino, Martin, MD, Kishi, Yoji, MD, Chun, Yun S., MD, Brown, David L., MD, Gottumukkala, Vijaya N.R., MD, Lichtiger, Benjamin, MD, Curley, Steven A., MD, Abdalla, Eddie K., MD, Vauthey, Jean-Nicolas, MD
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Blood Loss, Surgical
Blood Transfusion - statistics & numerical data
Child
Child, Preschool
Female
General aspects
Health participants
Hepatectomy - methods
Hepatectomy - mortality
Humans
Liver, biliary tract, pancreas, portal circulation, spleen
Male
Medical sciences
Middle Aged
Multivariate Analysis
Postoperative Complications - epidemiology
Public health. Hygiene
Public health. Hygiene-occupational medicine
Retrospective Studies
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Texas - epidemiology
Young Adult
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Summary:Background Blood transfusions are an independent risk factor for adverse outcomes after hepatectomy. In-hospital transfusions are still reported in one third of patients in major series. Data on factors affecting blood transfusions in large series of liver resection are limited. The aim of this study was to evaluate factors predictive of blood transfusion in hepatectomies performed at a tertiary referral center. Methods Records of 1,477 patients who underwent 1,557 liver resections between 1998 and 2007 were reviewed. Multivariate analysis of risk factors for red cell transfusion was performed. Results Median intra-operative blood loss was 250 cc, and 30-day peri-operative red cell transfusion rate was 27%. On multivariate analysis, factors that significantly predicted increased red cell transfusion rates were female sex, pre-operative hematocrit
ISSN:0039-6060
1532-7361
DOI:10.1016/j.surg.2009.06.027