胰腺手术围术期静脉血栓栓塞症的防治策略

Prevention and treatment of perioperative deep venous thrombosis in pancreatic surgery

近几年,胰腺癌患者围术期并发静脉血栓栓塞症(venous thromboembolism,VTE)的风险明显升高。早期预测VTE的发生、加强胰腺手术围术期的质量评价与临床管理,是推动胰腺癌患者VTE防治的关键。鉴于胰腺手术特殊性及相关并发症的发生风险,临床医生除着眼于VTE的防微杜渐,还应兼顾围术期术后出血等严重并发症的发生,力求平衡两者。本团队结合相关指南及本中心临床经验,就胰腺癌患者VTE的早期预测、胰腺围术期VTE防治指征与时机进行阐述,以期为临床医生对该类患者的VTE防治提供有益参考。

In recent years,the risk of perioperative concurrent venous thromboembolism(venous thromboembolism,VTE)has been significantly increased in patients with pancreatic cancer.Early prediction of VTE and strengthening the quality evaluation and clinical management of pancreatic surgery are the key to promote the prevention and treatment of VTE in pancreatic cancer patients.In view of the particularity of pancreatic surgery and the risk of related complications,clinicians should not only focus on the prevention of VTE,but also take into account the occurrence of serious complications such as postoperative bleeding,and strive to balance the two.Based on the relevant guidelines and the clinical experience of the center,the author's team elaborated on the early prediction of VTE in patients with pancreatic cancer,the indication and timing of perioperative VTE prevention and treatment in pancreatic surgery,in order to provide beneficial reference for the clinicians of VTE prevention and treatment in such patients.