Control of Blood Loss during Sacral Surgery by Aortic Balloon Occlusion

摘要

Resection of large sacral tumors is challenging for surgeons and anesthesiologists in particular due to extensive hemorrhage which is often refractory to control strategies. [1]. Complications related to large volume transfusion such as coagulopathy, hypothermia, and hypocalcemia contribute to morbidity, not to mention the rare but possible complication of an incompatible transfusion reaction, Bleeding can be so extensive at times that complete tumor resection becomes impossible without threatening the patient's life. Blood cell salvage has been used to diminish the requirement for autologous blood transfusion, but is not recommended in malignant tumor surgery. Recently, preopcrative arterial embolization of the tumor's blood supply was believed to be an effective technique for reducing the blood loss during surgery[2,3].