PREVENTION OF POSTOPERATIVE VENOUS THROMBOEMBOLISM FOLLOWING LAPAROSCOPIC CHOLECYSTECTOMY

被引：29

作者：

CAPRINI, JA

ARCELUS, JI

机构：

[1] Department of Surgery, The Glenbrook Hospital, Glenview, 60025, IL

[2] Department of Surgery, Hospital General Básico de la Axarquía, Málaga

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1994年 / 8卷 / 07期

关键词：

LAPAROSCOPIC CHOLECYSTECTOMY; OPEN CHOLECYSTECTOMY; VENOUS THROMBOEMBOLISM; PREVENTION; VEIN DISTENSION; HYPERCOAGULABILITY;

D O I：

10.1007/BF00593432

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Advantages of laparoscopic cholecystectomy are less patient discomfort and shorter hospital stay than with the traditional open approach. Nevertheless, this operation is performed under general anesthesia, using muscle relaxants and pneumoperitoneum, with most patients in the reverse Trendelenburg position. It has been shown that this procedure is associated with significant hypercoagulability and dilation of the veins of the leg. We review the role of these factors as potential risk factors for the development of postoperative venous thromboembolism and also report the rate of thromboembolic complications following laparoscopic cholecystectomy. Based on the available evidence, it is concluded that laparoscopic cholecystectomy, despite being a ''minimally invasive procedure,'' may be associated with a definite risk of developing postoperative venous thromboembolism that could extend beyond hospital discharge. Accordingly, thrombosis prophylaxis should be considered for these patients.

引用

页码：741 / 747

页数：7

共 55 条

[1]

Airan M., Appel M., Berci G., Coburg A.J., Cohen M., Cuschieri A., Dent T., Duppler D., Easter D., Greene F., Retrospective and prospective multi-institutional laparoscopic cholecystectomy study organized by the Society of American Gastrointestinal Endoscopic Surgeons, Surg Endosc, 6, pp. 169-176, (1988)

[2]

Arcelus J.I., Traverso C.I., Lopez-Cantarero M., Garcia J.M., Navarro F., Gomez E., Bravo F., Estudio de las modificaciones tromboelastográficas inducidas por la heparinización profiláctica en cirugía general, Cir Esp, 43, pp. 518-526, (1988)

[3]

Arcelus J.I., Caprini J.A., Traverso C.I., International perspectives on venous thromboembolism prophylaxis in surgery, Semin Thromb Hemost, 17, pp. 322-325, (1991)

[4]

Arcelus J.I., Caprini J.A., Venous thromboembolism prevention after hospital discharge, Venous thromboembolism, pp. 497-518, (1993)

[5]

Arcelus J.I., Caprini J.A., Traverso C.I., Size G., Hasty J.H., The role of elastic compression stockings to prevent venous dilatation induced by a reverse Trendelenburg position, Phlebology, 8, pp. 111-115, (1993)

[6]

Beebe D.S., McNevin M.P., Belani K.J., Letourneau J.G., Crain, Goodale R.L., Evidence of venous stasis after abdominal insufflation for laparoscopic cholecystectomy, Anesthesiology, 77, 3 A, (1992)

[7]

Bergqvist D., Matzsch T., Jendteg S., Lindgren B., Persson U., The cost-effectiveness of prevention of post-operative thromboembolism, Acta Chir Scand, 156, pp. 36-41, (1990)

[8]

Bergqvist D., Prophylaxis against postoperative venous thromboembolism—a survey of surveys, Thromb Haemorrh Disorders, 2, pp. 69-73, (1990)

[9]

Blair S.D., Menashi S., Saon D., Greenhalgh R.M., Can the hypercoagulability of surgery be measured?, Br J Surg, 73, (1986)

[10]

Caprini J.A., Scurr J.H., Hasty J.H., Role of compression modalities in a prophylactic program for deep vein thrombosis, Sem Thromb Hemost, 14, pp. 77-87, (1988)

← 1 2 3 4 5 6 →