Abstract
The effects of the increased intraabdominal pressure that occurs during laparoscopic cholecystectomy and the effects of the reverse Trendelenburg position adopted for the procedure on deep venous thrombosis (DVT) were investigated prospectively. Thirty patients who underwent laparoscopic and 13 who underwent open cholecystectomy for symptomatic cholelithiasis were investigated for postoperative DVT. Lower extremity venous blood flow was examined by color Doppler ultrasonography before and after operations. Thrombus formation was not found in the femoral, popliteal, or iliac veins of any of the patients who underwent either open or laparoscopic cholecystectomy. None of the patients in either group displayed signs of DVT or pulmonary embolus. We concluded that the incidence of DVT does not increase with laparoscopic cholecystectomy.
Similar content being viewed by others
References
Salzman EW, Hirsh J (1982) Prevention of deep venous thromboembolism. In: Colman RW, Hirsh J, Marder V, Salzman EW (eds) Hemostasis and thrombosis: Basic principles and clinical practice. Lippincot, New York, p 986
Wilson YG, Allen PE, Shidmore R, Baker AP (1993) Influence of pneumoperitoneum on lower limb hemodynamics (abstract). Br J Surg 80:1463–1464
Jorgensen JO, Lalak NJ, North L, Hanel K, Hunt DR, Morris DL (1993) Thromboembolic complications of laparoscopic cholecystectomy. BMJ 306:518–519
Millard JA, Hill BB, Cook PS, Fenoglio ME, Stahlgren LH (1993) Intermittent sequential pneumatic compression in prevention of venous stasis associated with pneumoperitoneum during laparoscopic cholecystectomy. Arch Surg 128:914–919
Richardson DJ, Trinkle KJ (1976) Hemodynamic and respiratory alterations with increased intra-abdominal pressure. J Surg Res 20:401–404
Caldwell CB, Ricotta JJ (1987) Changes in visceral blood flow with elevated intraabdominal pressure. J Surg Res 43:14–20
Diebel LN, Wilson RF, Dulchavsky SA, Saxe J (1992) Effect of increased intraabdominal pressure on hepatic arterial, portal venous, and hepatic microcirculatory blood flow. J Trauma 33:279–283
Kashtan J, Green JF, Parson EQ, Holcroft JW (1981) Hemodynamic effects of increased abdominal pressure. J Surg Res 30:249–255
Dorfman GS, Cronan JJ (1992) Venous ultrasonography. Radiol Clin North Am 30:879–894
Atichartakarn V, Bettepchotiwong K, Keorochana S, Eurvilaichit C (1988) Deep venous thrombosis after hip surgery among Thai. Arch Int Med 148:1349
Kim YH, Suh JS (1988) Low incidence of deep venous thrombosis after cementless total hip replacement. J Bone Joint Surg 70A:878
Esemenli BT, Karahan M, Gündeş H, Güven O, Yalçin S (1993) Low incidence of deep venous thrombosis following total hip replacement among Turks. In: Abstract, Proc 19th World Congress, Societe Internationale de Chirurgie Orthopedique et de Traumatologie, Seoul, Korea, p 252
Aktan AÖ, Büyükgebiz O, Yeĝen C, Yalin R (1994) How minimally invasive is laparoscopic cholecystectomy? Surg Laparosc Endosc 4:18–21
Author information
Authors and Affiliations
About this article
Cite this article
Özdemir Aktan, A., Günal, Ö., Bíren, T. et al. Low incidence of deep venous thrombosis after laparoscopic cholecystectomy. J Hep Bil Pancr Surg 2, 58–60 (1995). https://doi.org/10.1007/BF02348289
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02348289