Effect of autologous blood donation on the central venous pressure, blood loss and blood transfusion during living donor left hepatectomy

Bruno Jawan, Yu Fan Cheng, Chia Chi Tseng, Yaw Sen Chen, Chih Chi Wang, Tung Liang Huang, Hock Liew Eng, Po Ping Liu, King Wah Chiu, Shih Hor Wang, Chih Che Lin, Tsan Shiun Lin, Yueh Wei Liu, Chao Long Chen

Research output: Contribution to journalArticlepeer-review

15 Citations (Scopus)

Abstract

Aim: Autologous blood donation (ABD) is mainly used to reduce the use of banked blood. In fact, ABD can be regarded as acute blood loss. Would ABD 2-3 d before operation affect the CVP level and subsequently result in less blood loss during liver resection was to be determined. Methods: Eighty-four patients undergoing living donor left hepatectomy were retrospectively divided as group I (GI) and group II (GII) according to have donated 250-300 mL blood 2-3 d before living donor hepatectomy or not. The changes of the intraoperative CVP, surgical blood loss, blood products used and the changes of perioperative hemoglobin (Hb) between groups were analyzed and compared by using Mann-Whitney U test. Results: The results show that the intraoperative CVP changes between GI (n = 35) and GII (n = 49) up to graft procurement were the same, subsequently the blood loss, but ABD resulted in significantly lower perioperative Hb levels in GI. Conclusion: Since none of the patients required any blood products perioperatively, all the predonated bloods were discarded after the patients were discharged from the hospital. It indicates that ABD in current series had no any beneficial effects, in term of cost, lowering the CVP, blood loss and reduce the use of banked blood products, but resulted in significant lower Hb in perioperative period.

Original languageEnglish
Pages (from-to)4233-4236
Number of pages4
JournalWorld journal of gastroenterology
Volume11
Issue number27
DOIs
Publication statusPublished - 2005 Jul 21

All Science Journal Classification (ASJC) codes

  • Gastroenterology

Fingerprint

Dive into the research topics of 'Effect of autologous blood donation on the central venous pressure, blood loss and blood transfusion during living donor left hepatectomy'. Together they form a unique fingerprint.

Cite this