Transfusion Risk in Open, Laparoscopic, and Robotic-Assisted Surgery: A Propensity Score Matched Case-Control Study across Surgical Disciplines

被引：0

作者：

Rumpf, Florian ^{[1
]}

Choorapoikayil, Suma ^{[2
]}

Hof, Lotta ^{[2
]}

Salari, Keyan ^{[3
,4
,5
]}

Baumhove, Olaf ^{[6
]}

Bayer, Alexandra ^{[7
]}

Friederich, Patrick ^{[8
]}

Friedrich, Jens ^{[9
]}

Elke, Gunnar ^{[10
]}

Gruenewald, Matthias ^{[10
,11
]}

Narita, Diana ^{[12
]}

Raadts, Ansgar ^{[13
]}

Schwendner, Klaus ^{[14
]}

Jenke, Dana J. ^{[15
]}

Steinbicker, Andrea U. ^{[2
]}

Thoma, Josef ^{[16
]}

Weber, Viola ^{[16
]}

Velten, Markus ^{[17
,18
]}

Wittmann, Maria ^{[17
]}

Weigt, Henry ^{[19
]}

Lange, Bjoern ^{[19
]}

Zacharowski, Kai

Meybohm, Patrick ^{[1
]}

机构：

[1] Univ Hosp Wurzburg, Dept Anaesthesiol Intens Care Emergency & Pain Med, Wurzburg, Germany

[2] Goethe Univ Frankfurt, Univ Hosp Frankfurt, Dept Anaesthesiol Intens Care Med & Pain Therapy, Frankfurt, Germany

[3] Massachusetts Gen Hosp, Dept Urol, Boston, MA USA

[4] Massachusetts Gen Hosp, Ctr Genom Med, Boston, MA USA

[5] Broad Inst MIT & Harvard, Cambridge, MA USA

[6] Klinikum Westmuensterland, Dept Anaesthesiol Intens Care Med & Pain Therapy, Bocholt, Germany

[7] Agatharied Hosp, Dept Anaesthesiol & Intens Care Med, Hausham, Germany

[8] Munchen Bogenhausen, Dept Anaesthesiol Operat Intens Care Med & Pain Th, Munchen Klin, Munich, Germany

[9] Klinikum Leverkusen, Dept Anaesthesiol & Intens Care Med, Leverkusen, Germany

[10] Univ Med Ctr Schleswig Holstein, Dept Anaesthesiol & Operat Intens Care Med, Kiel, Germany

[11] Evangel Amalie Sieveking Hosp, Dept Anaesthesiol & Intens Care Med, Hamburg, Germany

[12] Donauisarklinikum, Inst Lab Diagnost & Transfus Med, Deggendorf, Germany

[13] Univ Hosp Jena, Dept Anaesthesiol & Intens Care Med, Jena, Germany

[14] Diakonie Hosp Martha Maria, Dept Anaesthesiol & Operat Intens Care Med, Nurnberg, Germany

[15] Univ Hosp Muenster, Dept Anaesthesiol Intens Care & Pain Med, Munster, Germany

[16] Ortenau Klinikum, Dept Anaesthesiol & Operat Intens Care Med, Offenburg Kehl, Germany

[17] Univ Hosp Bonn, Dept Anaesthesiol & Operat Intens Care Med, Bonn, Germany

[18] Univ Texas Southwestern Med Ctr, Dept Cardiac Anaesthesia, Dallas, TX USA

[19] SLK Kliniken, Dept Anaesthesiol, Heilbronn, Germany

来源：

TRANSFUSION MEDICINE AND HEMOTHERAPY | 2025年 / 52卷 / 02期

关键词：

Robotic-assisted surgery; Perioperative anemia; Blood transfusion; Minimally invasive procedures; INTRAOPERATIVE BLOOD-LOSS; RADICAL PROSTATECTOMY; COLORECTAL SURGERY; THORACIC-SURGERY; OUTCOMES; CANCER; METAANALYSIS; SURVIVAL;

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Introduction: Robotic-assisted surgery is increasingly performed in various surgical disciplines demonstrating improved oncological and functional outcomes compared to conventional surgery. Objective: Unclear is how robotic-assisted surgery affects perioperative anemia and the need for blood products. Methods: In this case-control study, 15,009 matched patient pairs undergoing urological, visceral, or thoracic surgery were included. Pairwise comparisons between robotic-assisted surgery, laparoscopic surgery, and open surgery were performed with propensity score matching. Results: Robotic-assisted surgery compared to open surgery was associated with a risk reduction of allogeneic red blood cell transfusion by RR: 0.32 (95% CI: 0.27-0.37) and a limited reduction of perioperative hemoglobin (perioperative hemoglobin difference of 0.40 g/dL, 95% CI: 0.31-0.49). Robotic-assisted surgery was associated with a shorter length of hospital stay by 4.29 days (95% CI: 3.74-4.84). Compared to laparoscopic surgery, robotic-assisted surgery had no significant effect on red blood cell transfusions (RR: 0.94, 95% CI: 0.75-1.18), perioperative hemoglobin (0.27 g/dL, 95% CI: 0.16-0.38), or length of hospital stay 0.53 days (95% CI: -0.14-1.19). Conclusions: Robotic-assisted and laparoscopic procedures are associated with reduced blood transfusions compared to open surgery and, thus the advancement of minimally invasive procedures constitutes an important measure to improve patient outcomes.

引用

页码：142 / 151

页数：10