학술논문
Two-surgeon technique of parenchymal transection contributes to reduced transfusion rate in patients undergoing major hepatectomy: Analysis of 1,557 consecutive liver resections
Document Type
Academic Journal
Author
Source
Surgery. Jan 01, 2010 147(1):40-48
Subject
Language
English
ISSN
0039-6060
Abstract
BACKGROUND: METHODS: 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 <30%, platelet count <100,000/mm, simultaneous resection of other organs, major hepatic resection, use of the Pringle maneuver, and tumors >10 cm. Parenchymal transection technique was an independent risk factor for perioperative red cell transfusion; the usage of the 2-surgeon technique (combined saline-linked cautery and ultrasonic dissection) was associated with a lower transfusion rate than other techniques, including ultrasonic dissection alone, finger fracture, and stapling (P < .001). CONCLUSION