[Review] Use of intraoperative cell-salvage for autologous blood transfusions in metastatic spine tumour surgery: a systematic review
The Lancet Oncology
Metastatic spine tumour surgery (MSTS) and metastatic musculoskeletal tumour surgery (MMTS) are associated with substantial blood loss. Allogeneic blood transfusion is the present method used to replenish this blood. Intraoperative cell salvage (IOCS) is a viable alternative, but is contraindicated in tumour surgery because of the risk of tumour dissemination. Use of IOCS–leucocyte depletion filter (LDF) allows removal of tumour cells from blood salvaged during oncological surgery. However, no reports exist on use of IOCS in MSTS or MMTS.
Original Article: http://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(13)70245-6/abstract?rss=yes
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