Venous thromboembolism in colorectal surgery: Incidence, risk factors, and prophylaxis

被引:26
作者
Emoto, Shigenobu [1 ]
Nozawa, Hiroaki [1 ]
Kawai, Kazushige [1 ]
Hata, Keisuke [1 ]
Tanaka, Toshiaki [1 ]
Shuno, Yasutaka [1 ]
Nishikawa, Takeshi [1 ]
Sasaki, Kazuhito [1 ]
Kaneko, Manabu [1 ]
Hiyoshi, Masaya [1 ]
Murono, Koji [1 ]
Ishihara, Soichiro [1 ]
机构
[1] Univ Tokyo, Dept Surg Oncol, Tokyo, Japan
基金
日本学术振兴会;
关键词
Colorectal cancer; Inflammatory bowel disease; Laparoscopic surgery; Venous thromboembolism; DEEP-VEIN THROMBOSIS; INFLAMMATORY-BOWEL-DISEASE; MOLECULAR-WEIGHT HEPARIN; INTERMITTENT PNEUMATIC COMPRESSION; CANCER-SURGERY; LAPAROSCOPIC SURGERY; PULMONARY-EMBOLISM; EXTENDED THROMBOPROPHYLAXIS; PRACTICE GUIDELINES; HOSPITAL DISCHARGE;
D O I
10.1016/j.asjsur.2018.12.013
中图分类号
R61 [外科手术学];
学科分类号
摘要
Colorectal surgery is associated with a high risk of perioperative venous thromboembolism (VTE), and this risk is especially high following colorectal cancer resection and surgery for inflammatory bowel disease. Previous analyses of large databases have reported the incidence of postoperative VTE in this population to be approximately 1.1%-2.5%. Therefore, to minimize this risk, patients should be offered appropriate prophylaxis, which may involve a combination of mechanical and pharmacologic prophylaxis with low-dose unfractionated heparin or low molecular weight heparin as recommended by several guidelines. Prior to initiation of treatment, appropriate risk stratification should be performed according to the patients' basic and disease-related as well as procedure-related risk factors, and post-operative factors. Furthermore, a risk-benefit calculation that takes into account patients' VTE and bleeding risk should be performed prior to starting pharmacologic prophylaxis and to help determine the duration of treatment. (C) 2019 Asian Surgical Association and Taiwan Robotic Surgery Association. Publishing services by Elsevier B.V.
引用
收藏
页码:863 / 873
页数:11
相关论文
共 90 条
  • [1] Randomized clinical trial of postoperative fondaparinux versus perioperative dalteparin for prevention of venous thromboembolism in high-risk abdominal surgery
    Agnelli, G
    Bergqvist, D
    Cohen, AT
    Gallus, AS
    Gent, M
    [J]. BRITISH JOURNAL OF SURGERY, 2005, 92 (10) : 1212 - 1220
  • [2] Graduated compression stockings in the prevention of venous thromboembolism
    Agu, O
    Hamilton, G
    Baker, D
    [J]. BRITISH JOURNAL OF SURGERY, 1999, 86 (08) : 992 - 1004
  • [3] Venous thromboembolism in patients with colorectal cancer: Incidence and effect on survival
    Alcalay, A
    Wun, T
    Khatri, V
    Chew, HK
    Harvey, D
    Zhou, H
    White, RH
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 2006, 24 (07) : 1112 - 1118
  • [4] Alizadeh RF, 2017, AM J SURG, V214, P1127, DOI 10.1016/j.amjsurg.2017.08.032
  • [5] Guidelines for the Diagnosis, Treatment and Prevention of Pulmonary Thromboembolism and Deep Vein Thrombosis (JCS 2009) - Digest Version
    Ando, Motomi
    Fukuda, Ikuo
    Ito, Masaaki
    Kobayashi, Takao
    Masuda, Masahisa
    Miyahara, Yoshiyuki
    Nakanishi, Norifumi
    Niwa, Akihiro
    Ohgi, Shigetsugu
    Tajima, Hiroyuki
    Ishibashi, Hiroyuki
    Kanaoka, Yasushi
    Nakamura, Mashio
    Sakuma, Masahito
    Satoh, Toru
    Tanabe, Nobuhiro
    Yamada, Norikazu
    Yamashita, Mitsuru
    Kuriyama, Takayuki
    Matsubara, Junichi
    Nakano, Takeshi
    Ozaki, Yukio
    Sakata, Ryuzo
    [J]. CIRCULATION JOURNAL, 2011, 75 (05) : 1258 - 1281
  • [6] Which Patients Require Extended Thromboprophylaxis After Colectomy? Modeling Risk and Assessing Indications for Post-discharge Pharmacoprophylaxis
    Beal, Eliza W.
    Tumin, Dmitry
    Chakedis, Jeffery
    Porter, Erica
    Moris, Dimitrios
    Zhang, Xu-feng
    Arnold, Mark
    Harzman, Alan
    Husain, Syed
    Schmidt, Carl R.
    Pawlik, Timothy M.
    [J]. WORLD JOURNAL OF SURGERY, 2018, 42 (07) : 2242 - 2251
  • [7] Bergqvist D, 1997, BRIT J SURG, V84, P1099
  • [8] Duration of prophylaxis against venous thromboembolism with enoxaparin after surgery for cancer.
    Bergqvist, D
    Agnelli, G
    Cohen, AT
    Eldor, A
    Nilsson, PE
    Le Moigne-Amrani, A
    Dietrich-Neto, F
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2002, 346 (13) : 975 - 980
  • [9] Bernstein CN, 2001, THROMB HAEMOSTASIS, V85, P430
  • [10] Incidence and Risk Factors of Venous Thromboembolism in Colorectal Surgery Does Laparoscopy Impart an Advantage?
    Buchberg, Brian
    Masoomi, Hossein
    Lusby, Kristelle
    Choi, John
    Barleben, Andrew
    Magno, Cheryl
    Lane, John
    Ninh Nguyen
    Mills, Steven
    Stamos, Michael J.
    [J]. ARCHIVES OF SURGERY, 2011, 146 (06) : 739 - 743