title: Autologous transfusion with modified total hepatic vascular exclusion for extracapsular resection of giant hepatic cavernous hemangioma.
abstract: BACKGROUND
  This paper was to review the effects of intraoperative autologous transfusion during modified, normal-temperature, total hepatic vascular exclusion (THVE) for extracapsular resection of giant hepatic cavernous hemangioma.
  
  
  METHODS
  The clinical data from 28 patients, who underwent hepatic resection requiring intraoperative autologous transfusion with the cell-saver apparatus, were analyzed retrospectively. The tumors in the 28 patients involved the proximal hepatic veins and inferior vena cava. The volume of these hemangiomas ranged from 12 x 15 cm to 18 x 40 cm. All patients had varying degrees of THVE.
  
  
  RESULTS
  The 28 patients with hemangioma received integrated resection and recovered. One patient had rupture of tumors resulting in massive hemorrhage of 6000 ml during liver resection; 4 patients had blood transfusions of 400-800 ml; the other 23 patients had no blood transfusion. Only 6 patients underwent the Pringle maneuver with resection. The other 22 patients underwent THVE during the liver resection. The interval of THVE was 5-30 minutes (mean 16 minutes).
  
  
  CONCLUSIONS
  Intraoperative autologous transfusion during modified, normal-temperature THVE for extracapsular resection of huge hepatic cavemous hemangioma is feasible.
authors.affiliation: Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
authors.forename: Ming-Hao
authors.initials: MH
authors.lastname: Li
authors.forename: Lu-Nan
authors.initials: LN
authors.lastname: Yan
authors.forename: Shu-Ren
authors.initials: SR
authors.lastname: Wang
mesh_terms: D000328:Adult; D001804:Blood Transfusion, Autologous; D005260:Female; D006392:Hemangioma, Cavernous / Q000601:surgery*; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008099:Liver / Q000098:blood supply; D008113:Liver Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies