[Bloodless medical and surgical procedures for retroperitoneal neoplasm resection].
OBJECTIVE
To investigate the Bloodless Medical and Surgical Procedures for retroperitoneal neoplasm resection.


METHODS
Retrospectively analyse the Bloodless Medical and Surgical Procedures during 36 retroperitoneal neoplasm resections from Beijing Shijitan Hospital Affiliated to Capital Medical University from September 2009 to December 2010, to discuss the preoperative preparation, anesthetic induction and maintainance, intraoperative monitoring and use of vasoactive drugs related experience.


RESULTS
All the patients were safe during the perioperative period, without any operative and anesthetic complication. By applying the Bloodless Medical and Surgical Procedures, the intraoperative haemodynamics maintained steady, the mean hematocrit decreased from 0.368 ± 0.095 before autologous blood collection to 0.252 ± 0.032 before the ends of operation. Majority of the patients (91.7%) stop using vasoactive drugs and extubated within 1 h after operation, and return wards.


CONCLUSIONS
Erythrocyte-raising medicine therapy and modified preservation autologous blood transfusion are important process of Bloodless Medical and Surgical Procedures.
Department of Anesthesiology, Beijing Shijitan Hospital Affiliated to Capital Medical University, Beijing 100038, China.
Lei
L
Guan
Hao-jie
HJ
Yu
Qun
Q
Li
Cheng-hua
CH
Luo
Dai-xiang
DX
Liao
D000328:Adult; D000368:Aged; D001803:Blood Transfusion / Q000379:methods*; D001804:Blood Transfusion, Autologous; D005260:Female; D006400:Hematocrit; D006801:Humans; D008297:Male; D008875:Middle Aged; D012186:Retroperitoneal Neoplasms / Q000601:surgery*; D012189:Retrospective Studies