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学科主题临床医学
Use of Aortic Balloon Occlusion to Decrease Blood Loss During Sacral Tumor Resection
Tang, Xiaodong; Guo, Wei; Yang, Rongli; Tang, Shun; Dong, Sen
刊名JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
2010-07-21
DOI10.2106/JBJS.I.01333
92A期:8页:1747-1753
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Orthopedics ; Surgery
研究领域[WOS]Orthopedics ; Surgery
关键词[WOS]TOTAL SACRECTOMY ; BONE ; RECONSTRUCTION ; EXCISION ; SURGERY ; SPINE
英文摘要

Background: Aortic balloon occlusion has been introduced into sacral tumor surgery to reduce extensive hemorrhage. The purposes of this retrospective study were to determine the efficacy of aortic balloon occlusion in decreasing intraoperative and postoperative blood losses and to analyze the complications of this technique.

Methods: The cases of 215 patients in whom a sacral tumor had been treated surgically between 1997 and 2009 were studied retrospectively. Ninety-five patients who had had sacral tumor resection without aortic balloon occlusion were compared with 120 patients in whom aortic balloon occlusion had been carried out during the tumor resection. The demographic data, possible factors influencing hemorrhage, and total blood loss volume (including intraoperative and postoperative volumes) were determined with a review of the medical records and compared between the two groups.

Results: There were no significant differences between the two groups in terms of the demographic data, grade of malignancy, tumor blood supply, location of the tumor, percentage of patients who had a recurrent tumor or preoperative radiation, surgical approach, or type of resection. The patients with aortic balloon occlusion had a larger mean tumor volume, more frequently had a sacral reconstruction, and had a longer mean operative time; however, their mean total (2963 mL) and intraoperative (2236 mL) blood loss volumes were lower than those of the patients without occlusion (4337 and 3935 mL, respectively) (p < 0.001). Complications related to aortic balloon occlusion included femoral artery embolism in three patients and hematoma formation at the puncture site in five.

Conclusions: Aortic balloon occlusion decreases the total and intraoperative blood loss volumes in patients treated with sacral tumor surgery who require extensive dissection. There is a low rate of balloon-related complications.

语种英语
WOS记录号WOS:000280216600008
引用统计
被引频次:23[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/67163
专题北京大学第二临床医学院_骨肿瘤科
北京大学药学院_天然药物与仿生药物国家重点实验室
作者单位Peking Univ, Peoples Hosp, Musculoskeletal Tumor Ctr, Beijing 100044, Peoples R China
推荐引用方式
GB/T 7714
Tang, Xiaodong,Guo, Wei,Yang, Rongli,et al. Use of Aortic Balloon Occlusion to Decrease Blood Loss During Sacral Tumor Resection[J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME,2010,92A(8):1747-1753.
APA Tang, Xiaodong,Guo, Wei,Yang, Rongli,Tang, Shun,&Dong, Sen.(2010).Use of Aortic Balloon Occlusion to Decrease Blood Loss During Sacral Tumor Resection.JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME,92A(8),1747-1753.
MLA Tang, Xiaodong,et al."Use of Aortic Balloon Occlusion to Decrease Blood Loss During Sacral Tumor Resection".JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME 92A.8(2010):1747-1753.
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