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Intraoperative autotransfusion in hepatic resection for malignancy. Is it safe?

Authors
Type
Published Article
Journal
Archives of Surgery
0004-0010
Publisher
American Medical Association
Publication Date
Volume
128
Issue
2
Pages
206–211
Identifiers
PMID: 8381647
Source
Medline
License
Unknown

Abstract

To evaluate whether intraoperative autologous transfusion increases the risk of hematogenous dissemination of tumor we reviewed the risk of lung metastasis as well as disease-free and long-term survival of patients who underwent resection of malignant hepatic neoplasms with this technique. A retrospective review of patients undergoing liver resection for malignant disease revealed 39 patients in whom intraoperative autologous transfusion was used. The 2-year actuarial survival in the patients in this series, as calculated with the Kaplan-Meier method, was predicted to be 75%. Two-year actuarial disease-free survival was predicted to be 28%, and the risk of developing lung metastasis at 3 years was estimated to be 40%. The predicted overall survival and risk of recurrence in this series compare favorably with published data for patients in whom intraoperative autologous transfusion was not used.

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