Incidence of clinical pulmonary embolism after laparoscopic surgery

Inderbitzin, Devdas Thomas; Opitz, Isabelle; Giger, Urs; Kocher, Thomas; Krähenbühl, L.

doi:10.1002/bjs.5666

Cited by 21 publications

(19 citation statements)

References 22 publications

(40 reference statements)

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“…Older age has been described as one of the independent risk factors for VTE in patients undergoing laparoscopic cholecystectomy. 3,5,7,8 Most investigations of 40 patients showed PE in 0% to 0.2% of patients 8-15 but 0.4% has also been reported 16,17 (Table 4). Regarding DVT, most reported 0% to 0.03% symptomatic DVT, [9][10][11][12]14,20 although one investigator reported 1.7%.…”

Section: Discussionmentioning

confidence: 85%

Pulmonary Embolism and Deep Venous Thrombosis Following Laparoscopic Cholecystectomy

Stein

Matta

Sabra

2013

Clin Appl Thromb Hemost

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There is considerable uncertainty related to the thromboembolic risk after laparoscopic cholecystectomy. Patients with pulmonary embolism (PE), deep venous thrombosis (DVT), or venous thromboembolism (VTE) at hospital discharge following laparoscopic cholecystectomy were identified from the Nationwide Inpatient Sample. From 1998 through 2009, 4 107 430 laparoscopic cholecystectomies were performed. The in-hospital prevalence of PE was 0.15%, DVT was 0.40%, and VTE was 0.53%. The prevalence of PE increased from 0.04% in patients aged 21 to 30 years to 0.31% in patients aged 71 to 80 years. Deaths due to in-hospital PE were 780 (0.02%) of the 4 107 430 laparoscopic cholecystectomies. The rate of death increased with age. The prevalence of VTE following laparoscopic cholecystectomy is low and fatal PE is rare. The risk of VTE increased with age, as did the risk of death in those who had PE. These data may be useful in assessing the use of thromboprophylaxis in patients undergoing laparoscopic cholecystectomy.

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Section: Discussionmentioning

confidence: 85%

Pulmonary Embolism and Deep Venous Thrombosis Following Laparoscopic Cholecystectomy

Stein

Matta

Sabra

2013

Clin Appl Thromb Hemost

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“…This compares with af igure of 13 of 2040 (0.64%) for clinically detectable pulmonary embolus in Swiss patients undergoing laparoscopic colonic surgery. 13 Major complications (excluding, for example, wound infections and UTIs) occurred in 9.7% (14 of 143). There was good correlation between the actual and predicted P-POSSUM mortality (2.8% versus 2.9%).…”

Section: Discussionmentioning

confidence: 99%

From Small Acorns – Developing a Laparoscopic Colorectal Surgical Service

Smith

Acheson

Simpson

et al. 2008

annals

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INTRODUCTION Randomised controlled trials have shown that laparoscopic colorectal surgeryi se qual in terms of safety to open surgery.B enefits have been seen for length of stay,b lood loss, immune suppression and analgesia requirements. The aim of this study was to assess the safety and feasibility of introducing laparoscopic colorectal surgery to our unit.PATIENTS AND METHODS Prospectively collected cases of all patients undergoing laparoscopic colorectal surgery between July 2003 and July 2007 were reviewed. RESULTS At otal of 143 patients (75 males and 68 females) with am ean age of 65.8 years (range, 21-95 years) underwent surgery.L aparoscopic resection for colorectal malignancy was performed in 93 patients (65%). The conversion rate for all cases was 14.7%. Mean operative time was 203 min (range, 100-400 min), with am ean blood loss of 180 ml. The mean number of lymph nodes in malignant cases was 13.8 with clear resection margin in all but one case. The mean postoperative stay was 5.6 days (median, 4d ays; range, 2-35 days). UKCCR standard for lymph node retrieval was achieved in 62.6% of cases. There were four postoperative deaths. The overall 30-day morbidity rate was 21.7%. The service is consultant-led with 9.8% of cases performed by senior trainees and 37% of procedures performed by two consultants.CONCLUSIONS Laparoscopic colorectal surgery is technically feasible and safe in our hands. Although operative time is longer, this is counterbalanced by shorter hospital stay.T he results from this series support the findings of others and continuing development of this service. SMITH ACHESON SIMPSON ET AL. FROMS MALLA CORNS -D EVELOPINGAL APAROSCOPIC COLORECTAL SURGICAL SERVICEAnn RC oll Surg Engl 2008; 90:6 06-611

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“…Approximately two thirds of all laparoscopic operations performed in Switzerland are entered into the database [23].…”

Section: Methodsmentioning

confidence: 99%

Population-based trend analysis of laparoscopic Nissen and Toupet fundoplications for gastroesophageal reflux disease

2010

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This is the first trend analysis in the literature reporting clinical outcomes of 873 prospectively enrolled patients undergoing Nissen and Toupet fundoplications during a 10-year period. The proportion of laparoscopic Nissen versus Toupet fundoplications remained stable over time, indicating that literature reports of the advantages of one procedure over the other had minimal influence on surgeons' choice of technique. Length of hospital stay, duration of surgery, morbidity, and conversion rate decreased over time, reflecting the learning curve. Clearly, patient outcomes have much improved during the 10-year observation period.

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Incidence of clinical pulmonary embolism after laparoscopic surgery

Abstract: The low incidence of PE after laparoscopy, with a further decrease over the past decade, suggests a tendency towards improved perioperative thromboembolic risk management.

Cited by 21 publications

References 22 publications

Pulmonary Embolism and Deep Venous Thrombosis Following Laparoscopic Cholecystectomy

Pulmonary Embolism and Deep Venous Thrombosis Following Laparoscopic Cholecystectomy

From Small Acorns – Developing a Laparoscopic Colorectal Surgical Service

Population-based trend analysis of laparoscopic Nissen and Toupet fundoplications for gastroesophageal reflux disease

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