Table #2. Operative Data Before and After Protocol.
| 9/2009-9/2011 No Transfusion (n=87) | 9/2009-9/2011 Received Transfusion (n=39) | After 9/2011 No Transfusion (n=46) | After 9/2011 Received Transfusion (n=14) | P-Values | |
|---|---|---|---|---|---|
| Liver Procedure | Lap 75% Open 25% |
Lap 51% Open 49% |
Lap 82% Open 18% |
Lap 62% Open 38% |
|
| Atypical Resection | 1.1% (1) | 0.0% | 0.0% | 0.0% | |
| Central Liver Resection | 3.4% (3) | 2.3% (1) | 2.2% (1) | 0.0% | |
| L. Lateral Segmentectomy | 21.8% (19) | 4.6% (2) | 19.6% (9) | 14.3% (2) | |
| L. Lobectomy | 16.1% (14) | 2.3% (1) | 2.2% (1) | 7.1% (1) | |
| L. Trisegmentectomy | 26.4% (23) | 5.7% (3) | 2.2% (1) | 0.0% | |
| R. Lobectomy | 2.3% (2) | 11.5% (5) | 39.1% (18) | 50.0% (7) | 0.029‡ |
| R. Posterior Sectorectomy | 16.1% (14) | 4.6% (2) | 0.0% | 0.0% | |
| R. Trisegmentectomy | 12.6% (11) | 11.5% (5) | 19.6% (9) | 14.3% (2) | |
| Segmentectomy | 16.1% (14) | 4.6% (2) | 15.2% (7) | 14.3% (2) | |
| Number of Units | N/A | 2.0 | N/A | 4.0 | |
| Transfused | |||||
| Total Blood Loss | 200.0 | 600.0 | 200.0 | 400.0 | 0.000*,0.000‡, 0.040† |
| Operative Time | 129.2 | 167.5 | 127.9 | 194.7 | 0.001*,0.000‡, 0.009† |
| Preoperative Intervention | |||||
| None | 78.9% (69) | 67.6% (26) | 74.4% (34) | 40.0% (6) | |
| Prior Surgery | 9.9% (9) | 14.7% (6) | 15.4% (7) | 30.0% (4) | |
| Embolization | 8.5% (7) | 0.0% | 2.6% (1) | 10.0% (1) | |
| Endoscopic Stent | 2.8% (2) | 11.8% (5) | 7.7% (4) | 20.0% (2) | 0.029‡ |
| Portal Vein Embolization | 0.0% | 5.9% (2) | 0.0% | 0.0% | |
| Preoperative Intent | |||||
| Cure | 84.4% (73) | 93.1% (36) | 84.4% (39) | 100% (14) | |
| Palliation | 15.6% (14) | 6.9% (3) | 15.6% (7) | 0.0% | |
| Number of Tumors | 1.0 | 1.0 | 1.0 | 1.0 | 0.003δ |
| Size of Largest Tumor | 3.5 | 6.0 | 3.1 | 6.0 | 0.007‡,0.001δ |
| Defined Tumor Margin | 13.0% (11) | 10.8% (4) | 9.5% (4) | 25.0% (4) | |
| CVP Total | 2.0 | 3.0 | 3.0 | 1.5 | |
*
all patients that received blood compared to all patients that did not receive blood
†
patients after the protocol that received blood compared to patients after the protocol that did not receive blood
‡
patients before the protocol that received blood compared to patients before the protocol that did not receive blood
δ
patients before the protocol that received blood compared to patients after the protocol that received blood