Estimated Blood Loss in Group O as Compared to Non-group O Radical Prostatectomy Patients
| Autor: | Kaaron Benson, S J Agosti, Lodovico Balducci, Julio M. Pow-Sang, Hussain I. Saba, Gary H. Lyman |
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| Rok vydání: | 2016 |
| Předmět: |
Complete data
medicine.medical_specialty biology business.industry Prostatectomy medicine.medical_treatment Urology Hematology Red blood cell medicine.anatomical_structure Von Willebrand factor Blood loss ABO blood group system biology.protein Medicine Significant risk business Radical retropubic prostatectomy |
| Zdroj: | Hematology (Amsterdam, Netherlands). 3(3) |
| ISSN: | 1024-5332 |
| Popis: | Background and objectives Blood group O individuals have been shown to have lower levels of von Willebrand factor (vWF). It is not known if these differences are associated with an increased bleeding risk. We retrospectively assessed estimated blood loss (EBL) in group O and non-group O men undergoing radical prostatectomy. Materials and methods All patients undergoing radical retropubic prostatectomy from October 1986 through January 1997 were evaluated for ABO type, EBL in the operating room and red blood cell (RBC) transfusion requirements. Results Complete data were available for 138 group O and 168 non-group O men. Average intraoperative blood loss was 1996 mLs for all men and there was no significant difference in the EBL or transfusion requirements for group O patients. Substantial blood loss (EBL of at least 3 liters) did occur in 20.3% of group O and 13.1% of non-group O patients (P = 0.12). There were no significant differences between the two groups in the number of autologous, allogeneic or total RBCs transfused either intraoperatively or within 48 hours of surgery. Conclusion There was no difference in blood loss or RBC transfusion requirements between group O and non-group O patients undergoing radical prostatectomy. The lower levels of vWF that have been found in group O individuals do not appear to put group O men at significant risk for greater operative blood loss or transfusion requirements during radical prostatectomy. Summary Group O men undergoing radical prostatectomy do not have greater estimated blood loss or transfusion requirements as compared to non-group O men. |
| Databáze: | OpenAIRE |
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