Intraoperative blood transfusion contributes to decreased long-term survival of patients with esophageal cancer.

World Journal of Surgery
Yoshihiro KomatsuKoichi Sato

Abstract

Several prognostic factors for patients who have undergone esophagectomy owing to esophageal squamous cell carcinoma have been suggested, including intraoperative blood loss. There are few data, however, suggesting such an association with the prognosis following radical esophagectomy. Patients with esophageal squamous cell carcinoma who underwent radical esophagectomy were divided into two groups based on the median value of the intraoperative blood loss (510 g). A multivariate Cox proportional-hazard regression analysis was performed to determine if intraoperative blood loss could be an independent prognostic factor for long-term survival following radical esophagectomy. Kaplan-Meier survival analysis with a log-rank test was performed between the groups. From April 2005 to May 2009, a total of 37 patients underwent radical esophagectomy for the treatment of esophageal squamous cell carcinoma at the Juntendo Shizuoka Hospital and were assigned either to one of two groups: those with ≥510 g blood loss [bleeding group (BG), n = 19] or of those with <510 g blood loss [less bleeding group (LBG), n = 18]. The distribution of the stage of disease, the number of positive lymph nodes, and the presence of lymphatic and vascular invasi...Continue Reading

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Citations

Apr 30, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Sheraz R MarkarDonald E Low
Feb 11, 2014·Annals of Surgical Oncology·Tomoyuki KakutaToshifumi Wakai
Jun 20, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jeffrey M SuttonSyed A Ahmad
Aug 9, 2015·The Journal of Surgical Research·Jingli CuiHan Liang
Aug 27, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Yuhree KimTimothy M Pawlik
Sep 16, 2015·Journal of Clinical Anesthesia·Juan P CataVijaya Gottumukkala
Jul 12, 2016·International Journal of Urology : Official Journal of the Japanese Urological Association·Wilson SuiGuarionex J DeCastro
Dec 22, 2017·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·P R BoshierG B Hanna
Mar 24, 2016·Cancer Growth and Metastasis·Hadi A GoubranThierry Burnouf
Sep 23, 2018·Veterinary Surgery : VS·Brittany J CiepluchKelley M Thieman Mankin
Sep 24, 2015·Oncotarget·Olof JannaschPawel Mroczkowski

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