Use of anticoagulant mechanical methods after laparoscopic sleeve gastrectomy for obese patients
10.3760/cma.j.cn113855-20210706-00412
- VernacularTitle:腹腔镜胃袖状切除术后物理治疗对肥胖患者抗凝效果的研究
- Author:
Kai LI
1
;
Chen LIU
;
Nengwei ZHANG
;
Jirun PENG
;
Bin ZHU
;
Dexiao DU
;
Dongbo LIAN
;
Dongdong ZHANG
;
Ke GONG
Author Information
1. 首都医科大学附属北京世纪坛医院普外科，北京 100038
- Keywords:
Obesity;
Physical therapy modalities;
Fibrinogen;
Gastrectomy
- From:
Chinese Journal of General Surgery
2022;37(1):39-43
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate anticoagulant effects of mechanical methods in obese patients undergoing laparoscopic sleeve gastrectomy (LSG).Methods:In this prospective study, 54 obese patients receiving LSG were enrolled . All patients were given post-op mechanical methods for thrombogenic interventions. BMI and the operation-related factors were recorded. Venous blood specimens were taken from each patient before surgery, at the end of pneumoperitoneum (i.e., 0 h after surgery), at 24 hours after surgery for prothrombin time (PT) and activated partial thromboplastin time (APTT), fibrinogen (FIB) and D-dimer (D-D).Results:All 54 obese patients successfully underwent LSG. No severe complications were observed. Before operation, the mean BMI was (43.49±8.29) kg/m 2. DVT-2600 device was applied in all patients for 3 consecutive days after surgery. The PT values increased at 0 h, 24 h after surgery [(12.4±1.2) s, (12.4±0.8) s vs. (11.2±0.8) s, P=0, 0]. The APTT values at 0 h, 24 h after surgery decreased [(29.7±3.6) s, (29.0±3.1) s vs.(31.2±3.3) s, P=0.020, 0.001]. However, the D-D values increased at 0 h,24 h after operation [(213±143) ng/ml ,(445±237) ng/ml vs. (85±108) ng/ml, P=0, 0]. All patients were followed up for 1 month, and no thrombosis -related complications were observed. Conclusion:Mechanical methods for obese patients after LSG can help decrease the risk of deep venous thrombosis.
