Effects Of Preoperative Platelet Count On Blood Loss And Complications For Splenectomy With Esophagogastric Devascularization.pdf

1、Objective:To investigate whether low preoperative platelet count increased blood loss in splenectomy and esophagogastric devascularization for hepatitis B cirrhosis patients, and to discuss the necessity of prophylactic

2、platelet transfusion in patients with platelet count less than 50 x 109/L.
　　Methods:105 patients who received splenectomy from January 2008 to July 2014 were divided into three groups based on their preoperative plat

3、elet counts:＜30 x 109/L (group 1), 30–50 x 109/L (group 2),＞50 x 109/L (group 3). Their operation time, blood loss, postoperative platelet count of 1st and 3rd day, drainage volume, postoperative hospital stay and operat

4、ion associated complications were compared between the 3 groups.
　　Results:compared with patients in group 3, patients in group 1 and 2 experienced more blood loss, but the difference was not statistically significant

5、 (P＞0.05). There were no significant differences among 3 groups in terms of operative time, postoperative drainage, postoperative hospital stay and operation–associated complications (P＞0.05). Compared with preoperative

6、results, PLT count increased significantly after the operation between the 3 groups (P＜0.05).
　　Conclusion:It is safe to perform splenectomy and esophagogastric de-vascularization in hepatitis B cirrhosis patients wit