| Autor: |
Leo Yamada, Motonobu Saito, Hiroya Suzuki, Shotaro Mochizuki, Eisei Endo, Koji Kase, Misato Ito, Hiroshi Nakano, Naoto Yamauchi, Takuro Matsumoto, Akinao Kaneta, Yasuyuki Kanke, Hisashi Onozawa, Hiroyuki Hanayama, Hirokazu Okayama, Shotaro Fujita, Wataru Sakamoto, Yohei Watanabe, Suguru Hayase, Zenichiro Saze, Tomoyuki Momma, Shinji Ohki, Koji Kono |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
BMC Surgery, Vol 22, Iss 1, Pp 1-8 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
1471-2482 |
| DOI: |
10.1186/s12893-022-01544-9 |
| Popis: |
Abstract Background Upper extremity deep vein thrombosis (UEDVT) is relatively rare but cannot be negligible because it can cause fatal complications. Although it is reported that the occurrence rate of UEDVT has increased due to central venous catheter (CVC), cancer, and surgical invasion, there is still limited information for esophagectomy. The aim of this study was to evaluate the clinical factors, including CVC placement and thromboprophylaxis approach, as well as retrosternal space’s width as a predictive factor for UEDVT in patients receiving esophagectomy. Methods This study included 66 patients who underwent esophagectomy with retrosternal reconstruction using a gastric tube. All patients routinely underwent contrast-enhanced computed tomography (CT) on the 4th postoperative day. Low-molecular-weight-heparin (LMWH) was routinely administered by the 2nd postoperative day. To evaluate retrosternal space’s width, (a) The distance from sternum to brachiocephalic artery and (b) the distance from sternum to vertebra were measured by preoperative CT, and the ratio of (a) to (b) was defined as the width of retrosternal space. Results Among all patients, 11 (16.7%) suffered from UEDVT, and none was preoperatively received CVC placement, while 7 were inserted in non-UEDVT cases. Retrosternal space’s width in patients with UEDVT was significantly smaller than that in patients without UEDVT (0.17 vs. 0.26; P |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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