Effects of intraoperative blood loss during liver resection on patients? outcome: A single-center experience
Operative bleeding is one of the major determinants of outcome in liver surgery. This study aimed to describe the impact of intraoperative blood loss on the postoperative course of liver resection (LR). The data of 257 patients who were treated with LR between January 2007 and October 2018 were retr...
Saved in:
Published in | Turkish journal of medical sciences Vol. 51; no. 3; pp. 1388 - 1395 |
---|---|
Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Turkey
The Scientific and Technological Research Council of Turkey
28.06.2021
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Summary: | Operative bleeding is one of the major determinants of outcome in liver surgery. This study aimed to describe the impact of intraoperative blood loss on the postoperative course of liver resection (LR).
The data of 257 patients who were treated with LR between January 2007 and October 2018 were retrospectively analyzed. LRs were performed via intermittent portal triad clamping (PTC) under low central venous pressure.
LRs were performed for 67.7% of patients with a malignant disease and 32.3% of patients with a benign disease. Major LR was performed in 89 patients (34.6%). The mean PTC period was 20.32 minutes (±13.7). The median intraoperative bleeding amount was 200 ml (5-3500 ml), the 30-day mortality rate was 4.3%, and the morbidity rate was 31.9%. The hospital stay (P=0.002), morbidity (P=0.009), and 30-day mortality (P=0.041) of patients with a bleeding amount of more than 500 ml significantly increased.
Surgeons should consider the adverse effects of intraoperative bleeding during liver resection on patients' outcome. Favorable outcomes would be obtained with diligent postoperative care. |
---|---|
Bibliography: | The authors declare that they have no conflicts of interest. This study has not been presented in any meeting. CONFLICT OF INTEREST |
ISSN: | 1300-0144 1303-6165 |
DOI: | 10.3906/sag-2008-78 |