Pediatric Hematology/Oncology and ImmunopathologyPediatric Hematology/Oncology and ImmunopathologyВопросы гематологии/онкологии и иммунопатологии в педиатрии1726-17082414-9314Fund Doctors, Innovations, Science for Children75110.24287/1726-1708-2023-22-4-170-176LITERATURE REVIEWОБЗОР ЛИТЕРАТУРЫIntraoperative red blood cell salvage in cancer surgeryИнтраоперационная реинфузия эритроцитов в онкохирургииhttps://orcid.org/0000-0003-3551-6026GuzI. V.ГузИ. В.
Russian Federation

Ilya V. Guz, a transfusion medicine physician at the Department of  Transfusiology, Procurement and Processing of Hematopoietic Stem Cells

1 Samory Mashela St., Moscow 117997

Гуз Илья Валерьевич, врач-трансфузиолог отделения трансфузиологии,  заготовки и процессинга гемопоэтических стволовых клеток

117997, Москва, ул. Саморы Машела, 1

ilia.guz@fccho-moscow.ruhttps://orcid.org/0000-0002-0231-1617TrakhtmanP. E.ТрахтманП. Е.

Moscow

Москва

ShchukinV. V.ЩукинВ. В.

Moscow

Москва

MotovitskayaA. V.МотовицкаяА. В.

Moscow

Москва

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian FederationФГБУ «Национальный медицинский исследовательский центр детской гематологии, онкологии и иммунологии им. Дмитрия Рогачева» Минздрава России201220232241701760208202329082023Copyright ©; 2023, «D. Rogachev NMRCPHOI»Copyright ©; 2023, ФГБУ «НМИЦ ДГОИ им. Дмитрия Рогачева» Минздрава России2023«D. Rogachev NMRCPHOI»ФГБУ «НМИЦ ДГОИ им. Дмитрия Рогачева» Минздрава Россииhttps://creativecommons.org/licenses/by/4.0https://hemoncim.com/jour/article/view/751

Surgery in cancer patients may sometimes involve significant blood loss, and intraoperative red blood cell salvage is an effective technique that can reduce postoperative complications. Autologous reinfusion of red blood cells processed by a cell saver machine significantly reduces the number of red blood cell transfusions from donors. The use of leukocyte filters eliminates the possibility of tumor cell release into the patient’s circulation. This method is easy to use, however medical staff should be appropriately trained in cell salvage. Intraoperative red blood cell salvage can and should be used in the management of patients undergoing planned or emergency surgeries with expected blood loss > 500 mL.

Хирургическое вмешательство у онкологических пациентов иногда сопровождается значительной кровопотерей, и интраоперационная реинфузия эритроцитов – эффективная методика, позволяющая скорректировать послеоперационные осложнения. Аппаратная реинфузия аутологичных эритроцитов существенно снижает количество трансфузий донорских эритроцитов. Лейкоцитарный фильтр исключает возможность попадания опухолевых клеток в циркуляторное русло пациента. Данный метод прост в использовании при соответствующей подготовке медицинского персонала. Интраоперационная реинфузия эритроцитов может и должна использоваться в менеджменте сохранения аутологичных эритроцитов у пациентов при плановом или экстренном оперативном вмешательстве с предполагаемой кровопотерей более 500 мл.

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