Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Feb 27, 2024; 16(2): 419-428
Published online Feb 27, 2024. doi: 10.4240/wjgs.v16.i2.419
Hemoglobin loss method calculates blood loss during pancreaticoduodenectomy and predicts bleeding-related risk factors
Chao Yu, Yi-Min Lin, Guo-Zhe Xian
Chao Yu, Yi-Min Lin, Guo-Zhe Xian, Department of Hepatobiliary Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, Shandong Province, China
Author contributions: Yu C designed the study, collected and analyzed data, and wrote the manuscript; Lin YM participated in the study’s conception and data collection; Xian GZ participated in study design and provided guidance; All authors read and approved the final version.
Supported by Shandong Provincial Natural Science Foundation General Project, No. ZR2020MH248.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the Shandong Provincial Hospital Affiliated to Shandong First Medical University (Shandong Provincial Hospital).
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: We have no financial relationships to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non-Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Guo-Zhe Xian, MD, PhD, Chief Doctor, Professor, Department of Hepatobiliary Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324 Jingwu Weiqi Road, Huaiyin District, Jinan 250021, Shandong Province, China. xianguozhe@sdfmu.edu.cn
Received: September 24, 2023
Peer-review started: September 24, 2023
First decision: December 14, 2023
Revised: December 26, 2023
Accepted: January 19, 2024
Article in press: January 19, 2024
Published online: February 27, 2024
Core Tip

Core Tip: Visual inspection is commonly used clinically to assess blood loss during pancreaticoduodenectomy (PD), but most scholars believe that this method is extremely subjective and inaccurate. We applied the hemoglobin loss method to calculate the intraoperative and perioperative blood loss in patients with PD, and compared the blood loss between different surgical methods. Univariate regression analysis revealed that a history of diabetes, a preoperative bilirubin concentration > 200 μmol/L, and high body mass index increased bleeding risk.