surgery without blood transfusion for giant paraganglioma in a jehovah's witness patient

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ID: 209402
2014
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Ranked #61 of 83 articles by views in multi-span large bridges - proceedings of the international conference on multi-span large bridges, 2015

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Abstract
A retroperitoneal tumor was identified in a 57-year-old female belonging to Jehovah's Witnesses during a health check. Subsequent examination led to the suspicion of a right pheochromocytoma. The patient wished to be treated by bloodless surgery and consulted our hospital after being refused surgery by several hospitals. She signed a liability waiver for blood transfusion refusal. After obtaining consent for diluted autotransfusion and preoperative administration of erythropoietin, the surgery was scheduled. The tumor was attached to the inferior vena cava and left renal vein and engulfed the right renal artery and vein. The tumor and right kidney were removed en bloc. Operative time was 8 h and 18 min, with 1,770 ml of blood loss. The histopathological diagnosis was paraganglioma with the normal adrenal gland within the border of the tumor. The patient was discharged from the hospital with no postoperative complications.
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narita2014casesurgery Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Takuya Narita;Itsuto Hamano;Ayumu Kusaka;Hiromi Murasawa;Noriko Tokui;Kengo Imanishi;Teppei Okamoto;Hayato Yamamoto;Atsushi Imai;Shingo Hatakeyama;Takahiro Yoneyama;Yasuhiro Hashimoto;Takuya Koie;Chikara Ohyama;Kenichi Hakamada
Journal multi-span large bridges - proceedings of the international conference on multi-span large bridges, 2015
Year 2014
DOI
10.1159/000360813
URL
http://www.karger.com/Article/FullText/360813
Keywords
Oncology including cancer and carcinogens tumors

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