Influence of Intraoperative Blood Loss on Tumor Recurrence after Surgical Resection in Hepatocellular Carcinomaopen access
- Authors
- Suh, Suk-Won; Lee, Seung Eun; Choi, Yoo Shin
- Issue Date
- Jul-2023
- Publisher
- MDPI
- Keywords
- hepatocellular carcinoma; intraoperative blood loss; blood transfusion; tumor recurrence; surgical resection
- Citation
- JOURNAL OF PERSONALIZED MEDICINE, v.13, no.7
- Journal Title
- JOURNAL OF PERSONALIZED MEDICINE
- Volume
- 13
- Number
- 7
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/70937
- DOI
- 10.3390/jpm13071115
- ISSN
- 2075-4426
2075-4426
- Abstract
- The high incidence of hepatocellular carcinoma (HCC) recurrence after surgical resection worsens the long-term prognosis. Besides tumor-related factors, operative factors such as perioperative blood transfusion have been reported to be related to HCC recurrence. However, excessive intraoperative blood loss (IBL) always necessitates blood transfusion, where IBL and blood transfusion may influence oncologic outcomes. We enrolled 142 patients with newly diagnosed single HCC who underwent hepatic resection between March 2010 and July 2021. Patients were stratified into two groups by IBL volume: Group A (IBL & GE; 700 mL, n = 47) and Group B (IBL < 700 mL, n = 95). The clinic-pathologic findings, operative outcomes, and cumulative probability of tumor recurrence and overall survival were compared between the two groups. In the study, increased IBL (1351 & PLUSMN; 698 vs. 354 & PLUSMN; 166, p < 0.001) and blood transfusion (63.8% vs. 6.3%, p < 0.001) were common in Group A, with a greater HCC recurrence (p = 0.001) and poor overall survival (p = 0.017) compared to those in Group B. Preoperative albumin (hazard ratio [HR], 0.471; 95% confidence interval [CI], 0.244-0.907, p = 0.024), microvascular invasion (HR, 2.616; 95% CI, 1.298-5.273; p = 0.007), and IBL & GE; 700 mL (HR, 2.325; 95% CI, 1.202-4.497; p = 0.012) were significant risk factors for tumor recurrence after surgical resection for HCC. In conclusion, efforts to minimize IBL during hepatic resection are important for improving long-term prognosis in HCC patients.
- Files in This Item
-
- Appears in
Collections - ETC > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/70937)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.