Perioperative blood transfusion as a prognostic indicator in patients with hepatocellular carcinoma

被引:146
作者
Asahara, T
Katayama, K
Itamoto, T
Yano, M
Hino, H
Okamoto, Y
Nakahara, H
Dohi, K
Moriwaki, K
Yuge, O
机构
[1] Hiroshima Univ, Sch Med, Dept Surg 2, Minami Ku, Hiroshima 7348551, Japan
[2] Hiroshima Univ, Sch Med, Dept Anesthesiol & Crit Care Med, Minami Ku, Hiroshima 7348551, Japan
关键词
D O I
10.1007/PL00012367
中图分类号
R61 [外科手术学];
学科分类号
摘要
We studied the relation of perioperative blood transfusion and the outcomes id 175 patients with hepatocellular carcinoma (HCC) who underwent hepatic resection from 1986 to 1994 in our hospital. Hepatectomy was performed in 23 (13.1%) patients with and 152 (86.9%) without blood transfusions. The cumulative cancer-free survival rates for patients who had received blood transfusion was significantly lower than that for patients who had not received blood transfusions (p = 0.003), Further examinations revealed a significant difference in cancer-free survival rates for stage I-II patients (n = 75) of HCC (p = 0.02) but not for stage III-IV patients (n = 56) (p = 0.06), Cox regression analysis for recurrence revealed that blood transfusion was the most significant prognostic indicator (p = 0.001) for recurrence in stage I-II patients but not in stage III-IV patients (p = 0.99). These results suggest that a perioperative blood transfusion may be a significant prognostic indicator for patients with HCC who had underwent hepatectomy, especially in stage I-II patients of HCC.
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页码:676 / 680
页数:5
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