Deep vein thrombosis after open hepatectomy or other major upper abdominal surgery in Taiwan

Lin, Hung‐Yu; Chen, Yao‐Li; Lin, Chung‐Sheng; Hsieh, Han-Ni; Yang, Yao-Hsu; Shen, Ming‐Ching

doi:10.1016/j.jfma.2022.11.017

Cited by 3 publications

(1 citation statement)

References 27 publications

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“…The probability of developing DVT after significant abdominal surgery is most significant within the first two wk following the operation, while complications such as PE can manifest even later. [34][35][36] Vein thromboembolism is uncommon during genitourinary surgery, with a DVT incidence of 5.54% in urologic procedures. Transurethral resection of the prostate or bladder tumor is a low-risk procedure for VTE, with reported incidence rates of 0.11 to 0.2% for DVT and 0.1 to 0.45% for PE.…”

Section: Discussionmentioning

confidence: 99%

Correlation between type of surgery and incidence of postoperative venous thromboembolism (VTE)

Supomo,

Budi Mulyono,

Usi Sukorini

et al. 2024

InaJBCS

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Venous thromboembolism (VTE) is a significant complication in patients after undergoing major surgery. The type of surgery is believed correlated with the incidence of VTE. This study aimed to evaluate the correlation between type of surgery and incidence of VTE among patients who underwent major surgery. It was a retrospective study conducted in Dr. Sardjito General Hospital, Yogyakarta using medical record data of patients who underwent major surgery and were diagnosed with VTE between 2016 and 2020. Patients were grouped by surgery type, and length of stay (LoS). All caused deaths were also analyzed. Among 29,120 patients who underwent major surgery, 76 (0.26%) experienced VTE with females patients accounting for 75%. The mean age of the patients was 55 yr. All VTE cases had the mean LoS of 25 d. The highest proportion of patients who experienced VTE were patients who underwent tumor removal (67.0%) followed by trauma patients (18.4%). A significant difference in the incidence of mortality between the surgical groups was reported (p = 0.02). Post-cardiology had the highest risk of mortality (OR=7.46; 95% CI: 0.322 - 172.61) while age had the lowest risk of mortality (OR=1.01; 95% CI: 0.953 - 1.071). In conclusion, surgery type is correlated with the incidence of VTE. Surgery due to cancer and trauma has a higher risk of VTE compared to the others.

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Section: Discussionmentioning

confidence: 99%

Correlation between type of surgery and incidence of postoperative venous thromboembolism (VTE)

Supomo,

Budi Mulyono,

Usi Sukorini

et al. 2024

InaJBCS

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Kao¹

2023

Journal of the Formosan Medical Association

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Does the Surgical Approach Affect the Incidence of Post-Hepatectomy Liver Failure in Cirrhotic Patients? An Analysis of the NSQIP Database

Jehan,

Ganguli,

Hase

et al. 2024

The American Surgeon™

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Background: The association between surgical approach and post-hepatectomy liver failure (PHLF) in cirrhotic patients is poorly understood. We hypothesize that patients will have similar rates of liver failure regardless of whether they undergo minimally invasive liver resection (MILR) or open liver resection (OLR) in major liver resections. In contrast, there will be lower rates of PHLF in patients undergoing minor hepatectomy via the MILR approach. Methods: Propensity score matching was used to analyze regression by matching the MILR to the OLR cohort. Patient demographics from the American College of Surgeons National Surgical Quality Improvement Program, including race, age, gender, and ethnicity, were matched. Chronic obstructive pulmonary disease, congestive heart failure, smoking, hypertension, diabetes, renal failure, dyspnea, dialysis dependence, body mass index, and American Society of Anesthesiologists (ASA) classification (>ASA III) were among the preoperative patient characteristics subject to matching. PHLF (Grade A vs B. vs C) was our primary outcome measure. Results: A total of 2129 cirrhotic patients were included in the study. In the minor hepatectomy group, patients undergoing an OLR were more likely to get discharged to a facility (7.0% vs 4.4%; P = .03), had greater hospital length of stay (5 vs 3 days; P = .02), and had a greater need for invasive postoperative interventions (10.7% vs 4.6%; P < .01). They were also noted to have higher rates of organ space superficial surgical infections (SSIs) (7.3% vs 3.7%; P = .003), Clostridium difficile infection (.9% vs .1%; P = .05), renal insufficiency (2.1% vs .1%; P < .01), unplanned intubations (3.1% vs 1.4%; P = .03), and Grade C liver failure (2.3% vs .9%; P = .03). Conclusion: A higher incidence of PHLF grade C was found in patients undergoing OLR in the minor hepatectomy group. Therefore, in cirrhotic patients who can tolerate minimally invasive approaches, MILR should be offered to prevent postoperative complications as part of their optimization plan.

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Deep vein thrombosis after open hepatectomy or other major upper abdominal surgery in Taiwan

Cited by 3 publications

References 27 publications

Correlation between type of surgery and incidence of postoperative venous thromboembolism (VTE)

Correlation between type of surgery and incidence of postoperative venous thromboembolism (VTE)

Highlights

Does the Surgical Approach Affect the Incidence of Post-Hepatectomy Liver Failure in Cirrhotic Patients? An Analysis of the NSQIP Database

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