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Is it safe to perform operation for colorectal malignancy in Chinese patients without DVT prophylaxis? An 8-year experience from a regional hospital in Hong Kong 被引量:3

Is it safe to perform operation for colorectal malignancy in Chinese patients without DVT prophylaxis? An 8-year experience from a regional hospital in Hong Kong
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摘要 Background Colorectal surgery was regarded as one of the high risk surgery for post-operative deep vein thrombosis (DVT) and pulmonary embolism. This study aimed at investigating the incidence of venous thromboembolism (VTE) after colorectal surgery for malignancy.Methods Data were collected from the prospective database of colorectal malignancy from 2000 to 2008. A total of 1421 colorectal (open and laparoscopic) operations were performed for the colorectal malignancy without DVT prophylaxis.Results Only seven patients (0.5%) developed symptomatic DVT and one of them had complication of pulmonary embolism without mortality. Open operation for colorectal malignancy was identified as possible risk factor of DVT,however, risk factors like operative time, low anterior resection, sex, age etc. were not identified.Conclusion Risk of venous thromboembolism after colorectal operation is low in Chinese of our locality and it might be safe to perform colorectal operation for malignancy without DVT prophylaxis. Background Colorectal surgery was regarded as one of the high risk surgery for post-operative deep vein thrombosis (DVT) and pulmonary embolism. This study aimed at investigating the incidence of venous thromboembolism (VTE) after colorectal surgery for malignancy.Methods Data were collected from the prospective database of colorectal malignancy from 2000 to 2008. A total of 1421 colorectal (open and laparoscopic) operations were performed for the colorectal malignancy without DVT prophylaxis.Results Only seven patients (0.5%) developed symptomatic DVT and one of them had complication of pulmonary embolism without mortality. Open operation for colorectal malignancy was identified as possible risk factor of DVT,however, risk factors like operative time, low anterior resection, sex, age etc. were not identified.Conclusion Risk of venous thromboembolism after colorectal operation is low in Chinese of our locality and it might be safe to perform colorectal operation for malignancy without DVT prophylaxis.
机构地区 Department of Surgery
出处 《Chinese Medical Journal》 SCIE CAS CSCD 2010年第15期1973-1975,共3页 中华医学杂志(英文版)
关键词 colorectal carcinoma deep vein thrombosis colorectal carcinoma deep vein thrombosis
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  • 1Anderson FA Jr,Wheeler HB,Goldberg RJ,Hosmer DW,Patwardhan NA,Jovanovic B,et al.A population-based perspective of the hospital incidence and case-fatality rates of deep vein thrombosis and pulmonary embolism.Arch Intern Med 1991; 151:933-938..
  • 2T(o)rngren S,Rieger A.Prophylaxis of deep venous thrombosis in colorectal surgery.Dis Colon Rectum 1982; 25:563-566.
  • 3Ellis CN,Boggs HW,Slagle GW,Cole PA,Coyle DJ,Blakemore WS.Protein C activity,stage of disease,and vascular thrombosis in colon carcinoma.Am J Surg 1992; 163:78-81; discussion 81-82.
  • 4Fletcher JP,Koutts J,Ockelford PA.Deep vein thrombosis prophylaxis:a survey of current practice in Australia and New Zealand.Aust N Z J Surg 1992; 62:601-605.
  • 5http://www.facs.org/ahp/views/payforperformance.html.
  • 6Nandi P,Wong KP,Wei WI,Ngan H,Ong GB.Incidence of postoperative deep vein thrombosis in Hong Kong Chinese.Br J Surg 1980; 67:251-253.
  • 7McLeod RS,Geerts WH,Sniderman KW,Greenwood C,Gregoire RC,Taylor BM,et al.Subcutaneous heparin versus low-molecular-weight heparin as thromboprophylaxis in patients undergoing colorectal surgery:results of the canadian colorectal DVT prophylaxis trial:a randomized,double-blind trial.Ann Surg 2001; 233:438-444.
  • 8Etchells E,McLeod RS,Geerts W,Barton P,Detsky AS.Economic analysis of low-dose heparin vs the low-molecular-weight heparin enoxaparin for prevention of venous thromboembolism after colorectal surgery.Arch Intern Med 1999; 159:1221-1228.
  • 9Iversen LH,Okholrn M,Thorlacius-Ussing O.Pre-and postoperative state of coagulation and fibrinolysis in plasma of patients with benign and malignant colorectal disease-a preliminary study.Thromb Haemost 1996; 76:523-528.
  • 10Alizadeh K,Hyman N.Venous thromboembolism prophylaxis in colorectal surgery.Surg Technol Int 2005; 14:165-170.

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