A retrospective study on 522 'elective' hepatic resections was carried out to verify the feasibility of hepatic resections without blood transfusions and its impact on the immediate postoperative period and long-term outcome. There is a trend in carrying out transfusion-free hepatic resection thanks to the improvements in 'bloodless' liver surgery and to a more selected indications for transfusions. In our last two years experience 59% of patients required no transfusions at surgery. Postoperative mortality and morbility have been associated with intraoperative transfusions especially in cirrhotic patients. Transfusions also influenced the long-term survival of patients resected for hepatocarcinoma or secondary to colorectal cancers. According to univariate analysis and proved to be the only factor related to prognosis of hepatocellular carcinoma on cirrhosis at multivariate analysis.
|Translated title of the contribution||Liver resections without blood transfusion|
|Number of pages||9|
|Publication status||Published - 1995|
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