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Background: Although the practice of preoperative testing of ABO group and Rh (D) type for elective cholecystectomy has deep historical roots, it is not evidence-based. We aimed to assess thepreoperative blood group and save testing practice for a cohort of patients subjected to elective laparoscopic cholecystectomy for symptomatic cholecystolithiasisbetween January 2010 and October 2014. Methods:National Health Service (NHS)hospitalbased,surgical procedure-specific, retrospective study was conducted. Afinalgroup consisted of 2,079 adult patients. We estimated the incidence of perioperative blood transfusion attributable to laparoscopic cholecystectomy. The results of eight other studies are presented.Results: Apreoperative blood group and save test was performed in 907 patients (43.6%), whereas cross-matching was documented in 28 patients (3.1%). None required an intraoperative blood transfusion. Twelve patients (0.58%) underwent blood transfusion postoperatively following laparoscopic cholecystectomy, of which ten were transfused due tosevere intra-abdominal bleeding (0.48%). There were no deaths.Conclusions: The likelihood of blood transfusion attributable to elective laparoscopic cholecystectomy is 1:200. A routine preoperative blood group and save testing is unnecessary. It neither alters the management of severe hypovolemia, secondary toperioperative bleeding, nor does it lead to better outcomes
Khalid Shahzad,, Khalid Shahzad,, Quentin Nunes, , Milind Shrotri, , Raimundas Lunevicius. (2017) ROUTINE PREOPERATIVE BLOOD GROUP AND SAVE TESTING IS UNNECESSARY FOR ELECTIVE LAPAROSCOPIC CHOLECYSTECTOMY, JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD, Volume 29, Issue 3.
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