A risk score for predicting perioperative blood transfusion in liver surgery

Abstract

Use of the TRS could lead to substantial saving by improving the cost-effectiveness of the autologous blood donation programme.

Impact of totally laparoscopic combined management of colorectal cancer with synchronous hepatic metastases on severity of complications: a propensity-score-based analysis

“…The present series cannot provide any evidence regarding a possible correlation of Pringle maneuver with increased rate of leakage from colorectal anastomosis, and even previous literature has always failed to demonstrate this relationship [40,41]: On the other hand, the incidence of anastomotic leakage seems to be comparable with the rates reported in the series of colorectal surgery alone, even considering a significant representation of rectal cancers within present study [12][13][14][15]. In our experience, portal clamping do not have to be avoided on principle in cases of combined resections, but, in this setting, it should be used on demand to control intraoperative bleeding: Indeed, in contrast to what we argued about Pringle maneuver [42,43], a correlation between blood loss and clinical outcome has been demonstrated and any effort should be done to reduce the need for blood transfusions. The lower risk and In the present study, the laparoscopic approach was associated with longer operative time compared with open surgery (420 vs 310 min, respectively; p = 0.03), even though both colorectal and hepatic teams had already completed the learning curve once TLA was adopted at our institution: Longer length of surgery seemed not to have affected clinical outcome in terms of blood loss, functional recovery and morbidity.…”

Case‐matched analysis of totally laparoscopic versus open liver resection for HCC: Short and middle term results

“…Bile leakage was suspected by evaluating drainage fluid color and confirmed assaying total bilirubin level in the drainage. Packed red blood cells were administered according to internal standardized guidelines [7]. The attending anaesthesiologist determined intraoperative blood loss by subtracting the amount of irrigant fluid instilled during the procedure, which was recorded on an ongoing basis during the operation, from the total amount of fluid contained in the suction canister at the conclusion of the procedure.…”

Laparoscopic liver resection without portal clamping: a prospective evaluation

“…Bile leakage was suspected by evaluating drainage fluid color and confirmed assaying total Bilirubin level in the drainage. Packed red blood cells were administered according to internal standardized guidelines [12].…”