Incidence of Venous Thromboembolism Following Laparoscopic Surgery for Gastrointestinal Cancer: A Single-Center, Prospective Cohort Study

World Journal of Surgery
Yasue KimuraYoshihiko Maehara

Abstract

The occurrence of venous thromboembolism (VTE), manifesting as deep vein thrombosis or pulmonary embolism, after gastric and colorectal cancer surgery remains poorly characterized. The purpose of this study was to investigate the incidence of VTE following laparoscopic surgery in Japanese patients with gastric and colorectal cancer and identify the associated risk factors. We prospectively analyzed VTE events after laparoscopic surgery for gastric and colorectal cancer from April 2012 to March 2013 in our institute. Deep vein thrombosis was diagnosed with Doppler ultrasound sonography of the lower limb. Thromboprophylaxis, graduated compression stockings, and intermittent pneumatic compression were used in all patients. Fondaparinux sodium was used in several patients. We examined all patients' plasma D-dimer levels throughout the perioperative period. In total, 101 patients were enrolled in this study; 71 who underwent laparoscopic surgery for gastrointestinal cancer were finally analyzed. Thirteen patients (18.3 %) developed asymptomatic VTE. There were no relationships between the development of VTE and perioperative factors such as cardiovascular disease, operation time, blood loss, postoperative complications, and fondapar...Continue Reading

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Citations

Nov 20, 2015·Cancer Research and Treatment : Official Journal of Korean Cancer Association·Eunyoung LeeKeun-Wook Lee
Nov 24, 2016·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·M Marshall-WebbD I Watson
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Oct 27, 2018·World Journal of Gastrointestinal Oncology·Aikaterini MastorakiNikolaos Arkadopoulos
Mar 4, 2021·European Surgical Research. Europäische Chirurgische Forschung. Recherches Chirurgicales Européennes·Sachiko KaidaMasaji Tani

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