Risk factors for venous thromboembolism after pancreatic surgery
10.3760/cma.j.cn113855-20240118-00048
- VernacularTitle:胰腺术后静脉血栓栓塞的危险因素分析
- Author:
Ze YU
1
;
Yan LUO
;
Hua CHEN
;
Gang WANG
;
Rui KONG
;
Hongtao TAN
;
Yongwei WANG
;
Bei SUN
Author Information
1. 哈尔滨医科大学附属第一医院胰胆外科,哈尔滨 150001
- Publication Type:Journal Article
- Keywords:
Pancreatectomy;
Venous thromboembolism;
Risk factors
- From:
Chinese Journal of General Surgery
2025;40(3):195-200
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the risk factors for postoperative venous thromboembolism (VTE) in patients undergoing pancreatic surgery.Methods:The clinical data of 488 patients who underwent pancreatectomy at the First Affiliated Hospital of Harbin Medical University from Jan 2016 to Sep 2024 was retrospectively analyzed.Results:One hundred and sixteen patients (23.8%) developed VTE after pancreatic surgery. Logistic analysis showed that advanced age, abdominal surgery history, high preoperative white blood cell count, high platelet lymphocyte ratio (PLR), distal pancreatectomy with splenectomy, open surgery, conversion to open surgery, and long surgery duration were risk factors.Nomogram prediction model based on the above risk factors was constructed and the area under the ROC curve was subsequently measured to be 0.781 (95% CI: 0.731-0.830). Conclusion:The prevention and control of VTE should be strengthened for patients undergoing pancreatic surgery with advanced age, abdominal surgery history, high preoperative white blood cell count, high PLR, distal pancreatectomy with splenectomy, open surgery, conversion to open surgery, and long surgery duration.
