Experience of Blood Usage in Orthotopic Liver Transplantation.
- Author:
Bo Moon SHIN
1
;
Taehyun UM
;
Kang Hee CHO
;
Yang Won RHA
;
Kye Hyoung PAIK
;
Hyucksang LEE
Author Information
1. Department of Clinical Pathology, Inje University, Seoul Paik Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Orthotopic liver transplantation;
transfusion;
blood products
- MeSH:
Blood Banks;
Blood Platelets;
Hemorrhage;
Hospital Records;
Hospitalization;
Humans;
Length of Stay;
Liver Diseases;
Liver Transplantation*;
Liver*;
Plasma;
Retrospective Studies;
Seoul
- From:Korean Journal of Blood Transfusion
1998;9(1):85-91
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Liver transplantation (orthotopic) is considered as an important therapy for the end stage liver diseases, but because of the coagulopathies of these patients, the massive bleeding during the operation has been a disturbing problem. So, the role of blood bank has increasingly been important for the appropriate blood products supply for the operation. METHODS: The authors reviewed retrospectively the hospital records of 9 patients who had taken orthotopic liver transplantations (OLT) at the Seoul Paik Hospital from March, 1992 to November, 1994. RESULTS AND CONCLUSION: The mean operation time and hospitalization duration was 14.1 hours and 35.3 days, respectively. Intraoperatively, the operations required a mean of 2.4 units of whole blood (WB), 29.4 of red cells (RBCs), 32.0 of fresh frozen plasma (FFP), 17.5 of platelet concentrates (PLTs), and 4.1 of cryoprecipitates (CRYOs). During the entire hospital stay, a mean of 9.3 units of WB, 56.1 of RBCs, 108.3 of FFP, 210.8 of PLTs, and 5.6 of CRYOs were transfused.