論文

2015年5月1日

Perioperative Allogeneic Blood Transfusion Is Associated With Surgical Site Infection After Abdominoperineal Resection-a Space for the Implementation of Patient Blood Management Strategies.

International surgery
  • Kaneko K
  • ,
  • Kawai K
  • ,
  • Tsuno NH
  • ,
  • Ishihara S
  • ,
  • Yamaguchi H
  • ,
  • Sunami E
  • ,
  • Watanabe T

記述言語
掲載種別
研究論文(学術雑誌)
DOI
10.9738/intsurg-d-14-00174.1

Allogeneic blood transfusion (ABT) has been reported as a major risk factor for surgical site infection (SSI) in patients undergoing colorectal surgery. However, the association of ABT with SSI in patients undergoing abdominoperineal resection (APR) and total pelvic exenteration (TPE) still remains to be evaluated. Here, we aim to elucidate this association. The medical records of all patients undergoing APR and TPE at our institution in the period between January 2000 and December 2012 were reviewed. Patients without SSI (no SSI group) were compared with patients who developed SSI (SSI group), in terms of clinicopathologic features, including ABT. In addition, data for 262 patients who underwent transabdominal rectal resection at our institution in the same period were also enrolled, and their data on differential leukocyte counts were evaluated. Multivariate analysis showed that intraoperative transfusion was an independent predictive factor for SSI after APR and TPE (P = 0.004). In addition, the first-operative day lymphocyte count of patients undergoing APR, TPE, and transabdominal rectal resection was significantly higher in nontransfusion patients compared with transfusion ones (P = 0.026). ABT in the perioperative period of APR and TPE may have an important immunomodulatory effect, leading to an increased incidence of SSI. This fact should be carefully considered, and efforts to avoid allogeneic blood exposure while still achieving adequate patient blood management would be very important for patients undergoing APR and TPE as well.

リンク情報
DOI
https://doi.org/10.9738/intsurg-d-14-00174.1
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/26011197
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4452965
URL
https://europepmc.org/articles/PMC4452965
ID情報
  • DOI : 10.9738/intsurg-d-14-00174.1
  • ORCIDのPut Code : 136783663
  • PubMed ID : 26011197
  • PubMed Central 記事ID : PMC4452965

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