June 29, 2011

Open vs Laparoscopic Colorectal Surgery May Double VTE Risk

Laurie Barclay, MD

期刊出處 Archives of Surgery, June 2011

方法 large clinical database study

主題比較開腹及腹腔鏡進行大腸直腸手術

bullet points

開腹進行大腸直腸手術比腹腔鏡有近兩倍靜脈栓塞風險

from University of California–Irvine Medical Center

在 Nationwide Inpatient Sample database 之中 149304 個 (2002 到 2006)作手術的病人

end result: incidence of VTE

stratified according to surgical site, pathology type, at risk patient populations

結果 2036/141456=1.44%

65/7848=0.83%

IBD and rectal resection 最易 VTE

其他 risk factors: cancer, obesity, CHF

奇怪A 明明是兩組不同病人 (database 缺很多項目 )