A Clinical Study of Abdominal Aortic Aneurysmal Operation without Blood Transfusion

The subjects consisted of cases of unruptured abdominal aortic aneurysm operated upon between 1989 and 1992 with or without blood transfusion. The blood transfusion group contained 13 patients and the non-transfusion group consisted 17 patients. Non-transfusion cases accounted for 57% and there was...

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Published inJapanese Journal of Cardiovascular Surgery Vol. 23; no. 3; pp. 196 - 199
Main Authors Andou, Fumitaka, Yamada, Tomoyuki, Kamada, Norihiko, Nakamoto, Susumu, Aoshima, Minoru
Format Journal Article
LanguageJapanese
Published The Japanese Society for Cardiovascular Surgery 1994
Subjects
Cell sever
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ISSN0285-1474
1883-4108
DOI10.4326/jjcvs.23.196

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Abstract The subjects consisted of cases of unruptured abdominal aortic aneurysm operated upon between 1989 and 1992 with or without blood transfusion. The blood transfusion group contained 13 patients and the non-transfusion group consisted 17 patients. Non-transfusion cases accounted for 57% and there was no operative death in this group. In 6 patients a Cell saver was used, and it was effective in 3 patients (20%) for non-transfusion. There were significant differences in preoperative hemoglobin, preoperative hematocrit, maximum diameter of aneurysm and bleeding volume in the blood transfusion group and non-transfusion group (p<0.05). In non-transfusion operations the Cell saver appears advantageous.
AbstractList The subjects consisted of cases of unruptured abdominal aortic aneurysm operated upon between 1989 and 1992 with or without blood transfusion. The blood transfusion group contained 13 patients and the non-transfusion group consisted 17 patients. Non-transfusion cases accounted for 57% and there was no operative death in this group. In 6 patients a Cell saver was used, and it was effective in 3 patients (20%) for non-transfusion. There were significant differences in preoperative hemoglobin, preoperative hematocrit, maximum diameter of aneurysm and bleeding volume in the blood transfusion group and non-transfusion group (p<0.05). In non-transfusion operations the Cell saver appears advantageous.
Author Andou, Fumitaka
Nakamoto, Susumu
Kamada, Norihiko
Aoshima, Minoru
Yamada, Tomoyuki
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  fullname: Andou, Fumitaka
  organization: Division of Cardiac Surgery, Heart Center at Amagasaki
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  fullname: Kamada, Norihiko
  organization: Department of Cardiovascular Surgery, Shizuoka General Hospital
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  fullname: Nakamoto, Susumu
  organization: Department of Cardiovascular Surgery, Shizuoka General Hospital
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  fullname: Aoshima, Minoru
  organization: Department of Cardiovascular Surgery, Shizuoka General Hospital
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References 7) Hartzell, V.S., Jerome, M.H., William, R.B. et al.: Autotransfusion of shed mediastinal blood after cardiac surgery. Thorac. Cardiovasc. Surg. 75: 632-641, 1978.
6) 八百英樹, 清水幸宏, 末広茂文ほか: 腹部大動脈瘤手術における術中自家血輸血の経験. 人工臓器18: 339-403, 1989.
11) 後藤文夫, 大谷英祥: プロスタグランディンE1の低血圧麻酔ならびに血圧管理への応用. 現代医療14: 1637-1641, 1982.
9) 富田悦朗, 中島伸之, 足立郁夫ほか: 待期的大血管手術における術中自家輸血の臨床経験. 日外会誌 82: 1528-1535, 1981.
1) 村田宣夫, 藤野正夫, 関正威: 無輸血手術の適応と問題点. 外科 54: 1164-1169, 1992.
3) Yasunori, W., Katsuo, F., Toshio, K. et al.: Autologous blood transfusion with recombinant human erythropoietin in heart operations. Ann. Thorac. Surg. 51: 767-772, 1991.
5) Goodnough, L.T.: Potential role of recombinant human erythropoietin in the perisurgical setting. Int. J. Cell. 8: 203-210, 1990.
10) 葉玉哲生, 調亟治, 高崎英巳ほか: 腹部大動脈瘤の手術成績向上のための工夫とその長期予後. 日心外会誌 21: 17-23, 1992.
4) 吉田介, 武藤輝一, 森昌造ほか: 多施設共同研究による一般外科手術症例に対するリコンビナント・ヒト・エリスロポエチン術前・術後投与の検討. 日消外会誌 25: 92-101, 1992.
12) Mark, H.W. and Herbert, I.M.: Sexual function after aorto-iliac surgery. Ann. Surg. 181: 787-790, 1975.
8) 小松文夫, 四方学: 出血量と自己血輸血. 日輸血会誌 36: 443-447, 1990.
13) 大城孟, 劉懋忠, 高橋顯ほか: 腹部大動脈・腸骨動脈疾患患者の性機能. 外科 42: 579-585, 1980.
2) 二之宮景光, 脇本信博: 術前貯血式自己血輸血法の標準案作成のための調査並びに試案の報告. 日輸血会誌 37: 65-69, 1991.
References_xml – reference: 7) Hartzell, V.S., Jerome, M.H., William, R.B. et al.: Autotransfusion of shed mediastinal blood after cardiac surgery. Thorac. Cardiovasc. Surg. 75: 632-641, 1978.
– reference: 3) Yasunori, W., Katsuo, F., Toshio, K. et al.: Autologous blood transfusion with recombinant human erythropoietin in heart operations. Ann. Thorac. Surg. 51: 767-772, 1991.
– reference: 9) 富田悦朗, 中島伸之, 足立郁夫ほか: 待期的大血管手術における術中自家輸血の臨床経験. 日外会誌 82: 1528-1535, 1981.
– reference: 8) 小松文夫, 四方学: 出血量と自己血輸血. 日輸血会誌 36: 443-447, 1990.
– reference: 2) 二之宮景光, 脇本信博: 術前貯血式自己血輸血法の標準案作成のための調査並びに試案の報告. 日輸血会誌 37: 65-69, 1991.
– reference: 11) 後藤文夫, 大谷英祥: プロスタグランディンE1の低血圧麻酔ならびに血圧管理への応用. 現代医療14: 1637-1641, 1982.
– reference: 13) 大城孟, 劉懋忠, 高橋顯ほか: 腹部大動脈・腸骨動脈疾患患者の性機能. 外科 42: 579-585, 1980.
– reference: 4) 吉田介, 武藤輝一, 森昌造ほか: 多施設共同研究による一般外科手術症例に対するリコンビナント・ヒト・エリスロポエチン術前・術後投与の検討. 日消外会誌 25: 92-101, 1992.
– reference: 10) 葉玉哲生, 調亟治, 高崎英巳ほか: 腹部大動脈瘤の手術成績向上のための工夫とその長期予後. 日心外会誌 21: 17-23, 1992.
– reference: 5) Goodnough, L.T.: Potential role of recombinant human erythropoietin in the perisurgical setting. Int. J. Cell. 8: 203-210, 1990.
– reference: 1) 村田宣夫, 藤野正夫, 関正威: 無輸血手術の適応と問題点. 外科 54: 1164-1169, 1992.
– reference: 6) 八百英樹, 清水幸宏, 末広茂文ほか: 腹部大動脈瘤手術における術中自家血輸血の経験. 人工臓器18: 339-403, 1989.
– reference: 12) Mark, H.W. and Herbert, I.M.: Sexual function after aorto-iliac surgery. Ann. Surg. 181: 787-790, 1975.
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SubjectTerms Cell sever
Title A Clinical Study of Abdominal Aortic Aneurysmal Operation without Blood Transfusion
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