Venous Thromboembolism Prophylaxis in Liver Surgery

Thomas A. Aloia; William H. Geerts; Bryan M. Clary; Ryan W. Day; Alan W. Hemming; Luiz Carneiro D'Albuquerque; Charles M. Vollmer; Jean-Nicolas Vauthey; Giles J. Toogood

doi:10.1007/s11605-015-2902-4

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Venous Thromboembolism Prophylaxis in Liver Surgery

Journal article

Open access

Peer reviewed

Venous Thromboembolism Prophylaxis in Liver Surgery

Thomas A. Aloia, William H. Geerts, Bryan M. Clary, Ryan W. Day, Alan W. Hemming, Luiz Carneiro D'Albuquerque, Charles M. Vollmer, Jean-Nicolas Vauthey and Giles J. Toogood

Journal of gastrointestinal surgery, Vol.20(1), pp.221-229

01/01/2016

DOI: 10.1007/s11605-015-2902-4

PMID: 26489742

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Abstract

At a recently concluded Americas Hepato-Pancreato-Biliary Association Annual Meeting, a Clinical Practice Guidelines Conference Series was convened with the topic focusing on Venous Thromboembolism (VTE) Prophylaxis in Liver Surgery. The symposium brought together hepatobiliary surgeons from three continents as well as medical experts in hematology and coagulation. The content of the discussion included literature reviews, evaluation of multi-institutional VTE outcome data, and examination of practice patterns at multiple high-volume centers. Literature review demonstrated that, within gastrointestinal surgery, liver resection patients are at particularly high-risk for VTE. Recent evidence clearly indicates a direct relationship between the magnitude of hepatectomy and postoperative VTE rates, however, the PT/INR does not accurately reflect the coagulation status of the post-hepatectomy patient. Evaluation of available data and practice patterns regarding the utilization and timing of anticoagulant VTE prophylaxis led to recommendations regarding preoperative and postoperative thromboprophylaxis for liver surgery patients. This conference was effective in consolidating our knowledge of coagulation abnormalities after liver resection. Based on the expert review of the available data and practice patterns, a number of recommendations were developed.

Surgery

Gastroenterology & Hepatology

Life Sciences & Biomedicine

Science & Technology

Details

Title: Subtitle: Venous Thromboembolism Prophylaxis in Liver Surgery
Creators: Thomas A. Aloia - Surgical Oncology
William H. Geerts - University of Toronto
Bryan M. Clary - University of California San Diego
Ryan W. Day - The University of Texas MD Anderson Cancer Center
Alan W. Hemming - University of California San Diego
Luiz Carneiro D'Albuquerque - Universidade de São Paulo
Charles M. Vollmer - University of Pennsylvania
Jean-Nicolas Vauthey - Surgical Oncology
Giles J. Toogood - St James's University Hospital
Resource Type: Journal article
Publication Details: Journal of gastrointestinal surgery, Vol.20(1), pp.221-229
DOI: 10.1007/s11605-015-2902-4
PMID: 26489742
NLM abbreviation: J Gastrointest Surg
ISSN: 1091-255X
eISSN: 1873-4626
Publisher: Springer Nature
Number of pages: 9
Language: English
Date published: 01/01/2016
Academic Unit: Surgery
Record Identifier: 9984322941602771

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