医学
肺栓塞
结直肠癌
外科
深静脉
腹腔镜手术
外科肿瘤学
结直肠外科
癌症
血栓形成
并发症
腹部外科
内科学
腹腔镜检查
作者
Masayoshi Yasui,Masataka Ikeda,Taishi Hata,Shu Okamura,Yasuhiro Miyake,Hideki Sakisaka,Hidekazu Takahashi,Norikatsu Miyoshi,Mamoru Uemura,Tsunekazu Mizushima,Hirofumi Yamamoto,Kohei Murata,Yuichiro Doki,Hidetoshi Eguchi
出处
期刊:Surgery Today
[Springer Nature]
日期:2021-11-29
卷期号:52 (6): 881-888
被引量:4
标识
DOI:10.1007/s00595-021-02422-2
摘要
Postoperative venous thromboembolism (VTE) is a major and potentially fatal postoperative complication of colorectal cancer surgery. However, there is uncertainty about the necessity for anticoagulant prophylaxis to prevent VTE after laparoscopic colorectal cancer surgery because of its associated relatively lower incidence. Currently, anticoagulant therapy is considered mainly for patients at high risk of the development of VTE. Focusing on proximal deep vein thrombosis (DVT)/ pulmonary embolism (PE), we aimed to identify those cases at high risk of the development of fatal VTE.We performed an exploratory retrospective analysis to identify the risk factors for postoperative proximal DVT and PE after laparoscopic colorectal cancer surgery in patients included in our prospective trial.A logistic regression analysis revealed factors that could predict the onset of proximal DVT/PE in patients with colorectal cancer. Blood loss and tumor location were identified as the predictors of proximal DVT/PE.Patients with rectal cancer and those with excessive blood loss during colon cancer surgery must be monitored carefully for signs of VTE and especially proximal DVT/PE, after laparoscopic surgery.
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