Blood loss and transfusion

Blood loss and transfusion

The reduction of blood loss during liver surgery has developed such that resection is often possible without blood transfusion. Better understanding of the segmental anatomy of the liver and patient selection, low central venous pressure anaesthesia and Masatoshi Makuuchi , b. 1946, surgeon, Koto Hospital, Tokyo, Japan. In 1990 described preoperative portal embolisation to increase the safety of major hepatectomy for hilar bile duct carcinoma. Jacques-Arsène d’Arsonval , 1851–1940, physician and physicist, Collège de France, Paris, France. better control of the coagulation cascade and significantly reduced bleeding in patients with liver disease and underlying coagulopathies. - The Pringle manoeuvre can r educe blood loss during parenchymal transection and improves the e ff ectiveness of other techniques used to treat oozing fr om the resected sur - face of the remnant liver. These include the topical applica - - tion of fibrin glue or fibrin-impregnated collagen fleece and non-contact electrosurgical technique such as argon plasma coagulation.