Clinical Evaluation of Long Time Lower Abdominal Aorta Balloon Block in Pelvic or Sacral Tumor Resection_Chinese Journal of Evidence-Based Medicine

Authors：

 LUOYi ¹ , DUANHong ¹ , HUANGBin ² , ZOUChang ¹ , ZHOUYong ¹ , MINLi ¹ , ZHANGWen-li ¹ , ZHAOJi-chun ² ,  TUChong-qi ¹

1. Department of Orthopedics, West China Hospital, Sichuan University, Chengdu 610041, China;
2. Department of Vascular Surgery, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

TUChong-qi, Email: tuchongqi@163.com

Keywords：

Sacrum tumor; Pelvic tumor; Balloon occlusion; Abdominal aorta; Complication; Safety

DOI：

10.7507/1672-2531.20150148

Video：

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Objective To explore the value of the long time lower abdominal aorta balloon block technology in the pelvis or sacrum tumor surgery. Methods From January 2005 to June 2013, the sacrum or pelvic tumor patients underwent the long time lower abdominal aorta balloon block technology in the Orthopedics Department of West China Hospital of Sichuan University were enrolled. According to the balloon blocking time, patients were divided into A (<90 mins), B (90 to 180 mins), and C (>180 mins) groups. The intraoperative blood loss, blood transfusion amount, average lengths of hospital stay, postoperative volume of drainage, and postoperative complications were compared among the three groups. Results A total of 78 patients were included, of which 21 were in group A, 38 were in group B and 19 were in group C. All patients received en bloc resection, and did not experience intraoperative balloon shift and abdominal aorta flow leakage. Comparing the three groups, there were significant differences in intraoperative blood loss (P=0.026) and average lengths of hospital stay (P=0.021). Further pairwise comparison showed the intraoperative blood loss and average lengths of hospital stay in group C were significantly higher than those in group A and group B. In addition, there were no statistical differences among the three groups in blood transfusion amount, postoperative volume of drainage and postoperative complications. Conclusion In the pelvis and sacrum tumor surgery, extending the time of abdominal aorta balloon block can reduce bleeding, save blood, increase the safety of surgery without increasing in postoperative complications.

Citation： LUOYi, DUANHong, HUANGBin, ZOUChang, ZHOUYong, MINLi, ZHANGWen-li, ZHAOJi-chun, TUChong-qi. Clinical Evaluation of Long Time Lower Abdominal Aorta Balloon Block in Pelvic or Sacral Tumor Resection. Chinese Journal of Evidence-Based Medicine, 2015, 15(8): 878-882. doi: 10.7507/1672-2531.20150148 Copy

1.	Zhang ZY, Fu CF, Yang YX, et al. Long-term outcomes following en bloc resection for sacral tumor:a retrospective analysis of 93 cases. Orthopedics, 2011, 34(8):e403-407.
2.	Simpson AH, Porter A, Davis A, et al. Cephalad sacral resection with a combined extended ilioinguinal and posterior approach. J Bone Joint Surg Am, 1995, 77(3):405-411.
3.	郭卫, 徐万鹏, 杨荣利, 等. 骶骨肿瘤的手术治疗. 中华外科杂志, 2003, 41(11):827-831.
4.	陈文华, 王祁, 何忠明, 等. 术前肿瘤动脉栓塞联合术中腹主动脉球囊阻断在骶骨肿瘤切除术中的应用. 介入放射学杂志, 2012, 21(3):212-215.
5.	李世德, 尹文军. 骶骨肿瘤术中4种控制出血方法临床效果评价. 实用肿瘤杂志, 2011, 26(5):526-529.
6.	Wirbel RJ, Roth R, Schulte M, et al. Preoperative embolization in spinal and pelvic metastases. J Orthop Sci, 2005, 10(3):253-257.
7.	Salai M, Garniek A, Rubin S, et al. Preoperative angiography and embolization of large pelvic tumors. J Surg Oncol, 1999, 70(1):41-44.
8.	张兰, 屠重棋,杨经文, 等. 腹主动脉内球囊阻断术在骨盆和骶骨手术中的应用. 中华麻醉学杂志, 2004, 24(2):151-152.
9.	黄斌, 赵纪春, 马玉奎, 等. 低位腹主动脉内球囊阻断技术在骨盆和骶骨肿瘤切除术中的应用. 中国普外基础与临床杂志, 2011, 18(6):635-638.
10.	Chatziioannou AN, Johnson ME, Pneumaticos SG, et al. Preoperative embolization of bone metastases from renal cell carcinoma. Eur Radiol, 2000, 10(4):593-596.
11.	Mi C, Lu H, Liu H, et al. Surgical excision of sacral tumors assisted by occluding the abdominal aorta with a balloon dilation catheter:a report of 3 cases. Spine, 2005, 30(20):E614-616.
12.	Yang L, Tu C, Hai BS, et al. Appling the abdominal aortic-balloon occluding combine with blood pressure sensor of dorsal artery of foot to control bleeding during the pelvic and sacrum tumors surgery. J Surg Oncol, 2008, 97(7):626-628.
13.	Zhang L, Tu C, Hai F, et al. Control of blood loss during sacral surgery by aortic balloon occlusion. Anesth Analg, 2007, 105(3):700-703.
14.	熊娅琴, 宋海波, 屠重棋, 等. 彩色多普勒超声引导下腹主动脉内球囊阻断术在骨盆和骶尾部肿瘤手术的应用研究. 四川大学学报(医学版), 2012, 21(3):212-215.
15.	韦玮, 李世德, 詹新立, 等. 暂时低位腹主动脉阻断患者T-SOD及MDA的变化和临床意义. 广东医学, 2009, 20(20):1833-1835.
16.	Gösta U, Lennart H, Lars S, et al. Reduced bleeding through temporary balloon occlusion in hip and knee revision surgery. Acta Orthop Scand, 2000, 71(1):51-54.

1. Zhang ZY, Fu CF, Yang YX, et al. Long-term outcomes following en bloc resection for sacral tumor:a retrospective analysis of 93 cases. Orthopedics, 2011, 34(8):e403-407.
2. Simpson AH, Porter A, Davis A, et al. Cephalad sacral resection with a combined extended ilioinguinal and posterior approach. J Bone Joint Surg Am, 1995, 77(3):405-411.
3. 郭卫, 徐万鹏, 杨荣利, 等. 骶骨肿瘤的手术治疗. 中华外科杂志, 2003, 41(11):827-831.
4. 陈文华, 王祁, 何忠明, 等. 术前肿瘤动脉栓塞联合术中腹主动脉球囊阻断在骶骨肿瘤切除术中的应用. 介入放射学杂志, 2012, 21(3):212-215.
5. 李世德, 尹文军. 骶骨肿瘤术中4种控制出血方法临床效果评价. 实用肿瘤杂志, 2011, 26(5):526-529.
6. Wirbel RJ, Roth R, Schulte M, et al. Preoperative embolization in spinal and pelvic metastases. J Orthop Sci, 2005, 10(3):253-257.
7. Salai M, Garniek A, Rubin S, et al. Preoperative angiography and embolization of large pelvic tumors. J Surg Oncol, 1999, 70(1):41-44.
8. 张兰, 屠重棋,杨经文, 等. 腹主动脉内球囊阻断术在骨盆和骶骨手术中的应用. 中华麻醉学杂志, 2004, 24(2):151-152.
9. 黄斌, 赵纪春, 马玉奎, 等. 低位腹主动脉内球囊阻断技术在骨盆和骶骨肿瘤切除术中的应用. 中国普外基础与临床杂志, 2011, 18(6):635-638.
10. Chatziioannou AN, Johnson ME, Pneumaticos SG, et al. Preoperative embolization of bone metastases from renal cell carcinoma. Eur Radiol, 2000, 10(4):593-596.
11. Mi C, Lu H, Liu H, et al. Surgical excision of sacral tumors assisted by occluding the abdominal aorta with a balloon dilation catheter:a report of 3 cases. Spine, 2005, 30(20):E614-616.
12. Yang L, Tu C, Hai BS, et al. Appling the abdominal aortic-balloon occluding combine with blood pressure sensor of dorsal artery of foot to control bleeding during the pelvic and sacrum tumors surgery. J Surg Oncol, 2008, 97(7):626-628.
13. Zhang L, Tu C, Hai F, et al. Control of blood loss during sacral surgery by aortic balloon occlusion. Anesth Analg, 2007, 105(3):700-703.
14. 熊娅琴, 宋海波, 屠重棋, 等. 彩色多普勒超声引导下腹主动脉内球囊阻断术在骨盆和骶尾部肿瘤手术的应用研究. 四川大学学报(医学版), 2012, 21(3):212-215.
15. 韦玮, 李世德, 詹新立, 等. 暂时低位腹主动脉阻断患者T-SOD及MDA的变化和临床意义. 广东医学, 2009, 20(20):1833-1835.
16. Gösta U, Lennart H, Lars S, et al. Reduced bleeding through temporary balloon occlusion in hip and knee revision surgery. Acta Orthop Scand, 2000, 71(1):51-54.

Chinese Journal of Evidence-Based Medicine

Clinical Evaluation of Long Time Lower Abdominal Aorta Balloon Block in Pelvic or Sacral Tumor Resection

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