Complex liver resection for a large intrahepatic cholangiocarcinoma in a Jehovah's witness: a strategy to avoid transfusion.
J Surg Oncol
; 96(3): 249-53, 2007 Sep 01.
Article
en En
| MEDLINE
| ID: mdl-17443725
ABSTRACT
Although morbidity and mortality after liver resection have improved over the last two decades, complex liver resections still require perioperative blood transfusions. In this report, we describe the use of a combined left trisegmentectomy and caudate lobectomy, along with resection of the inferior vena cava, to treat a large intrahepatic cholangiocarcinoma in a Jehovah's Witness. To our knowledge, this is the first report of major liver resection for a large malignant tumor in this patient population. We also discuss the perioperative strategy and surgical technique we used to minimize blood loss and avoid transfusion. This approach could be a safe alternative for use in all patients with complex liver tumor, regardless of their religious beliefs, to reduce the risks and cost associated with blood transfusion.
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Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
2_ODS3
/
6_ODS3_enfermedades_notrasmisibles
Problema de salud:
2_muertes_prematuras_enfermedades_notrasmisibles
/
6_digestive_diseases
/
6_gallbladder_biliary_cancer
/
6_liver_cancer
Asunto principal:
Procedimientos Quirúrgicos del Sistema Digestivo
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Neoplasias de los Conductos Biliares
/
Conductos Biliares Intrahepáticos
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Colangiocarcinoma
/
Testigos de Jehová
/
Hígado
Límite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
J Surg Oncol
Año:
2007
Tipo del documento:
Article
País de afiliación:
Estados Unidos