Featured Research

from universities, journals, and other organizations

In colorectal surgery, risk for blood clots appears higher with open method versus laparoscopy

Date:
June 20, 2011
Source:
JAMA and Archives Journals
Summary:
The risk of developing venous thromboembolism may be nearly twice as high for patients undergoing open surgery for colorectal problems, versus those undergoing laparoscopic colorectal resections, according to a new report.

The risk of developing venous thromboembolism (VTE) may be nearly twice as high for patients undergoing open surgery for colorectal problems, versus those undergoing laparoscopic colorectal (LC) resections, according to a report in the June issue of Archives of Surgery, one of the JAMA/Archives journals.

Venous thromboembolism (the formation of blood clots in the veins) occurs in up to 25 percent of patients who undergo surgery without specific steps taken to prevent the condition, according to background information in the article. The authors note that colorectal surgery in particular carries a high risk for VTE. They also point out that prior research in a few common gastrointestinal procedures suggests that laparoscopic surgery is associated with fewer cases of VTE. "An improved knowledge of the risk factors in the development of VTE after LC compared with open colorectal (OC) resection," they write, "may help guide surgeons' selection of appropriate thromboprophylaxis in patients undergoing LC surgery."

Brian Buchberg, M.D., and colleagues from University of California-Irvine Medical Center, Orange, compared the risk of VTE procedures by examining the National Inpatient Sample database. Between January 2002 and December 2006, in the United States, 149,304 patients underwent elective colectomy. Laparoscopic surgeries were performed in 5.3 percent of the total (7,848).

Among patients undergoing elective colectomies, VTE occurred in 1.4 percent (2,102). Sixty-five of those cases were in the LC group, versus 2,036 in the OC group, a significant difference. When the researchers analyzed the sample to stratify patients by risk factors, the odds of developing VTE were nearly twice as high in the OC group, compared with the LC group.

The authors note that their results appear to reflect the odds of OC-associated VTE that have been seen in other gastrointestinal surgical procedures. The apparent disparity between the methods leads them to "call into question whether we should be using the same risk factors and stratification for LC procedures as we do for OC procedures because certain risk factors for VTE in a patient undergoing OC surgery do not seem to portend an increased risk of VTE in the same patient undergoing LC surgery," they write. "These study findings may be used by surgeons to more accurately assess a patient's risk for perioperative VTE as well as to select appropriate thromboprophylaxis in patients undergoing LC surgery."


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Journal Reference:

  1. B. Buchberg, H. Masoomi, K. Lusby, J. Choi, A. Barleben, C. Magno, J. Lane, N. Nguyen, S. Mills, M. J. Stamos. Incidence and Risk Factors of Venous Thromboembolism in Colorectal Surgery: Does Laparoscopy Impart an Advantage? Archives of Surgery, 2011; 146 (6): 739 DOI: 10.1001/archsurg.2011.127

Cite This Page:

JAMA and Archives Journals. "In colorectal surgery, risk for blood clots appears higher with open method versus laparoscopy." ScienceDaily. ScienceDaily, 20 June 2011. <www.sciencedaily.com/releases/2011/06/110620161204.htm>.
JAMA and Archives Journals. (2011, June 20). In colorectal surgery, risk for blood clots appears higher with open method versus laparoscopy. ScienceDaily. Retrieved August 1, 2014 from www.sciencedaily.com/releases/2011/06/110620161204.htm
JAMA and Archives Journals. "In colorectal surgery, risk for blood clots appears higher with open method versus laparoscopy." ScienceDaily. www.sciencedaily.com/releases/2011/06/110620161204.htm (accessed August 1, 2014).

Share This




More Health & Medicine News

Friday, August 1, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

House Republicans Vote to Sue Obama Over Healthcare Law

House Republicans Vote to Sue Obama Over Healthcare Law

Reuters - US Online Video (July 31, 2014) The Republican-led House of Representatives votes to sue President Obama, accusing him of overstepping his executive authority in making changes to the Affordable Care Act. Mana Rabiee reports. Video provided by Reuters
Powered by NewsLook.com
Despite Health Questions, E-Cigs Are Beneficial: Study

Despite Health Questions, E-Cigs Are Beneficial: Study

Newsy (July 31, 2014) Citing 81 previous studies, new research out of London suggests the benefits of smoking e-cigarettes instead of regular ones outweighs the risks. Video provided by Newsy
Powered by NewsLook.com
Dangerous Bacteria Kills One in Florida

Dangerous Bacteria Kills One in Florida

AP (July 31, 2014) Sarasota County, Florida health officials have issued a warning against eating raw oysters and exposing open wounds to coastal and inland waters after a dangerous bacteria killed one person and made another sick. (July 31) Video provided by AP
Powered by NewsLook.com
Health Insurers' Profits Slide

Health Insurers' Profits Slide

Reuters - Business Video Online (July 30, 2014) Obamacare-related costs were said to be behind the profit plunge at Wellpoint and Humana, but Wellpoint sees the new exchanges boosting its earnings for the full year. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins