Analysis on the differences of early postoperative symptomatic thrombosis in patients undergoing different pancreaticoduodenectomy surgical procedures
10.3760/cma.j.cn115682-20220702-03194
- VernacularTitle:不同术式的胰十二指肠切除术患者术后早期症状性血栓发生的差异分析
- Author:
Danping SONG
1
;
Ting SUN
;
Weinan LIU
Author Information
1. 中国医学科学院北京协和医院基本外科一病房，北京 100730
- Keywords:
Venous thrombosis;
Laparoscopy;
Pancreaticoduodenectomy;
D-dimer
- From:
Chinese Journal of Modern Nursing
2023;29(19):2598-2601
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of different surgical procedures on early postoperative symptomatic thrombosis in patients undergoing pancreaticoduodenectomy.Methods:From September 2016 to June 2018, 111 patients undergoing pancreaticoduodenectomy in Peking Union Medical College Hospital, Chinese Academy of Medical Sciences were selected as the research objects by convenience sampling method, and were divided into the laparoscopic group ( n=47) and the laparotomic group ( n=64). The levels of D-dimer immediately after surgery and on the first, second, third, and seventh day after surgery and the occurrence of early postoperative symptomatic thrombus were compared between the two groups. Results:Repeated measures analysis of variance showed that there were between-group and time effects in the comparison of D-dimer immediately after surgery and on the first, second, third, and seventh day after surgery between the two groups, and the differences were statistically significant ( P<0.05). There was no significant difference in the occurrence of symptomatic thrombosis between the two groups ( P=0.62) . Conclusions:The risk of early symptomatic thrombosis after pancreaticoduodenectomy gradually increases, and laparoscopy had no significant advantage in reducing the risk of early symptomatic thrombosis after pancreaticoduodenectomy.
