Perioperative risk factors of bleeding in extensive liver resections

Cherkasov G.E.; Solovyeva I.N.; Bagmet N.N.

doi:https://doi.org/10.17116/hirurgia202111127

Cherkasov G.E.

Petrovsky Russian Research Center of Surgery

ORCID: 0000-0002-1200-9382

Solovyeva I.N.

Petrovsky Russian Research Center of Surgery

ORCID: 0000-0002-2282-4735

Bagmet N.N.

Petrovsky Russian Research Center of Surgery

Perioperative risk factors of bleeding in extensive liver resections

Authors:

Cherkasov G.E., Solovyeva I.N., Bagmet N.N.

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Journal: Pirogov Russian Journal of Surgery. 2021;(11): 27‑33

DOI: 10.17116/hirurgia202111127

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To cite this article:

Cherkasov GE, Solovyeva IN, Bagmet NN. Perioperative risk factors of bleeding in extensive liver resections. Pirogov Russian Journal of Surgery. 2021;(11):27‑33. (In Russ.)
https://doi.org/10.17116/hirurgia202111127

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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OBJECTIVE

To study the risk factors of severe blood loss in extensive liver resections, consequences of hemorrhagic problems and their correction.

MATERIAL AND METHODS

The study included 374 patients. Group 1 comprised 282 patients (118 men and 164 women aged 54.1±0.7 years) who underwent surgery between 2000 and 2012. Group 2 included 92 patients (34 women and 58 men aged 53.6±1.3 years) operated on for the period 2013—2019.

RESULTS

Technical equipment for mobilization and dissection of hepatic parenchyma has fundamentally changed for the period 2013—2019. This processes reduced blood loss by more 50% and consumption of donor blood components (red blood cells by 2.8 times, FFP by 1.8 times). Compression of hepatoduodenal ligament (Pringle maneuver) and tumor type did not affect intraoperative blood loss. Neoplasms over 10 cm increased blood loss. An increase in the number of resected segments by 2 times contributed to increase of blood loss by 2.7 times. Body mass index >25 kg/m² was also associated with higher blood loss.

Keywords:

extensive liver resection

blood loss

blood-saving technologies

Pringle maneuver

liver parenchyma dissection

Authors:

Cherkasov G.E.

Petrovsky Russian Research Center of Surgery

ORCID: 0000-0002-1200-9382

Solovyeva I.N.

Petrovsky Russian Research Center of Surgery

ORCID: 0000-0002-2282-4735

Bagmet N.N.

Petrovsky Russian Research Center of Surgery

Received:

30.11.2020

Accepted:

10.03.2021

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References:

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