[Consideration on transfusion in urologic surgery--a retrospective study on homologous and autologous transfusions].
To obtain data for promoting autologous transfusion in urologic surgery, the cases of perioperative homologous transfusions in the past 5 years are reviewed. Although the mean perioperative homologous blood transfusion rate was not so high (10.2%), the rate in common urological surgery was comparatively high (eg. radical nephrectomy 39.4%, simple or palliative nephrectomy 21.6%, total nephroureterectomy 33.3%, renal allotransplantation 82.8%, total cystectomy 96.2%). Mean homologous transfusion volume in these surveys was 982 ml. Two successful cases of autologous blood transfusion by the predeposit method or intraoperative collecting method are presented. Transfusion-associated adverse effects, especially viral infection and immunosuppression, were discussed and the value of autotransfusion was stressed.
Ihara
H
H
Department of Urology, Hyogo College of Medicine.
Takiuchi
H
H
Koike
H
H
Ogino
T
T
Hosokawa
S
S
Katoh
S
S
Shimada
K
K
Arima
M
M
Mori
Y
Y
Ikoma
F
F
D001803:Blood Transfusion / Q000706:statistics & numerical data*; D001804:Blood Transfusion, Autologous / Q000706:statistics & numerical data*; D015653:Cystectomy / Q000706:statistics & numerical data*; D006801:Humans; D007564:Japan; D016030:Kidney Transplantation / Q000706:statistics & numerical data*; D009392:Nephrectomy / Q000706:statistics & numerical data*; D012189:Retrospective Studies