Brazilian Society of Oncologic Surgery Guideline for Bloodless Surgery (Part 1: Preoperative Strategies).

Authors

Ronald Enrique Delgado Bocanegra, Alexandre Ferreira Oliveira, Vandre Cabral Gomes Carneiro, Reitan Ribeiro, Romilton Machado, Luis Fernando Johnson, Daniel Cesar, Roberta Oliveira de Almeida, Marcio Sanctos Costa, Augusto Fernandes Mendes, Larissa de Jesus Almeida, Thomas Augusto Rodrigues de Magalhães, Carlos Eduardo Santa Ritta Barreira, Kleuber Moreira Lemos, Felipe Jose Fernandez Coimbra, Joyce Sant'Anna Barros Lyra, Paulo Henrique de Sousa Fernandes, Angelo Atalla, Nathalia Moreira Ramalho, Marcelo Bentancor Lontra, Marcos Gonçalves Adriano Junior, Suellen Riccio Simões, Luccas Melo Chagas, João Rosa de Almeida, Vinicius La Rocca Vieira, Jorge Soares Lyra, Arthur Foinquinos Krause Goncalves, Elves Maciel, Vicente Faraon Fonseca, Abraão Elias Hallack Neto, Luiz Carlos Von Bahten, Adroaldo Guimarães Rossetti Junior, Murilo Pereira Flores, Yan Vitor Gomes Silva de Jesus, Giovani Alves Monteiro, Pedro Eder Portari Filho, Heladio Feitosa E Castro Neto, Diego Venicio Santos Argolo, Rinailda de Cascia Santos Torres, Rodrigo Nascimento Pinheiro

Published in

Journal of surgical oncology. Jul 12, 2026. Epub Jul 12, 2026.

Abstract

The Brazilian Society of Surgical Oncology (SBCO) developed national guidelines for the rational use of blood concentrates in surgical procedures.
Between June and December 2024, a multidisciplinary team of 42 experts formulated 48 key questions on the rational use of blood concentrates in surgery. The guidelines were structured in three phases: preoperative, intraoperative, and postoperative. Expert groups performed literature reviews and proposed preliminary recommendations, which were later refined by the coordinators. An adapted grading system was used to assess the level of evidence, and an online voting process determined consensus among experts.
Implementing a bloodless surgery protocol requires a meticulous and coordinated approach across multiple medical disciplines. Essential elements for success include patient and staff education, comprehensive preparation, and the use of advanced surgical techniques and technologies to optimize outcomes.

PMID:
42437511
Bibliographic data and abstract were imported from PubMed on 13 Jul 2026.

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