Effectiveness of intraoperative administration of intermittent pneumatic compression in preventing deep vein thrombosis in lung cancer patients undergoing video-assisted thoracoscopic surgery lobectomy

Wang, Xiaojun; Song, Saiqi; Ni, Ruijie; Lü, Min; Mao, Yanjun

doi:10.21037/jtd.2019.07.07

Cited by 13 publications

(9 citation statements)

References 25 publications

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“…This was most likely a consequence of the low specificity nature of the test itself, as D-dimer elevation can be caused by several factors, including anesthetic stimulation, tumor, surgical injury, and older age (13,14). In our previous study, we found that IPC could reduce the incidence of DVT to 0.8% (15), which indicated that SHCSs give a more modest performance in DVT prevention than IPC.…”

Section: Discussionmentioning

confidence: 92%

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Efficacy of self-heating calf sleeves for preventing deep vein thrombosis in lung cancer patients who undergo video-assisted thoracoscopic surgery lobectomy

Chen¹,

Xu²,

Song³

et al. 2020

Ann Palliat Med

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Background: Deep vein thrombosis (DVT) poses a considerable perioperative risk in patients who undergo surgical procedures. This study set out to determine the efficacy of self-heating calf sleeves (SHCSs) in preventing postoperative DVT in lung cancer patients undergoing VATS lobectomy. Methods: This study included 557 participants who underwent video-assisted thoracoscopic surgery (VATS) lobectomy between June, 2018 and June, 2019. The participants were randomly divided into two groups: the SHCS group and the control group. SHCS was applied to the patients intraoperatively. Each patient was subjected to Doppler ultrasound and D-dimer examination preoperatively and postoperatively. Signs and symptoms of DVT were monitored daily. Incidences of DVT were compared between the two groups. Results: Based on Color Doppler ultrasonography performed on day 2 after surgery, 42 of the 276 patients (15.20%) in the control group developed DVT, compared to 12 out of 281 patients (4.27%) in the SHCS group. There was significant difference in the incidence of DVT between the two groups (P<0.0001). The use of SHCSs significantly enhanced venous blood flow compared to when no mechanical prophylaxis was used (P<0.001). No significant difference in plasma D-dimer level was observed between the two groups. No SHCS-related complications occurred in the study.Conclusions: This study demonstrate that SHCSs are a satisfactory form of DVT prophylaxis method that can improve venous blood flow and thus alleviate venous stasis in the lower extremities. SHCSs offer a simple, inexpensive, and generally complication-free prophylactic method for lung cancer patients undergoing VATS lobectomy.Trial registration: ChiCTR1900022043.

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Section: Discussionmentioning

confidence: 92%

“…Strong risk factors for venous thromboembolism include active cancer, major surgery, reduced mobility, older age, and a history of DVT (4). Among lung cancer patients, those who undergo surgery are at increased risk of developing DVT (5)(6)(7)(8); as many as 16.2% of these patients develop DVT (9).…”

Section: Introductionmentioning

confidence: 99%

Efficacy of self-heating calf sleeves for preventing deep vein thrombosis in lung cancer patients who undergo video-assisted thoracoscopic surgery lobectomy

Chen¹,

Xu²,

Song³

et al. 2020

Ann Palliat Med

Self Cite

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“…The present study was not designed to investigate whether pre-operative IPC, either alone or in combination with post-operative IPC, reduced the incidence of DVT or PE in women undergoing laparoscopic gynecologic surgery. Interestingly, pre-operative IPC has been reported to decrease the incidence of DVT in patients with lung cancer undergoing video-assisted thoracoscopic lobectomy ( 28 ) and elderly patients undergoing hip fracture surgery ( 29 ). Whether or not pre-operative IPC prevents DVT in women undergoing laparoscopic gynecologic surgery will need to be investigated in a future randomized controlled trial.…”

Section: Discussionmentioning

confidence: 99%

Pilot Study of Effects of Intermittent Pneumatic Compression in the Immediate Peri-Operative Period on Hemodynamic Parameters in Patients After Laparoscopic Gynecologic Surgery

et al. 2022

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The randomized controlled study investigated the impacts of immediate peri-operative Intermittent pneumatic compression (IPC) on hemodynamic indicators in patients undergoing laparoscopic gynecologic surgery. Patients scheduled for elective laparoscopic gynecologic surgery were randomized to control (IPC not used), pre-operative IPC, post-operative IPC, and peri-operative IPC (performed both before and after surgery) groups. Systolic blood pressure (SBP), mean blood pressure (MBP) cardiac output (CO), heart rate (HR) and systemic vascular resistance (SVR) were measured at different time points. The results showed that SBP changes not obviously over time in the control and peri-operative IPC group. Compared with values before surgery, the pre-operative IPC group had a lower SBP (P < 0.01) at the end of PACU stay, whereas the post-operative IPC group had a higher SBP (P < 0.01) after surgery. All groups exhibited little or no variation in HR, CO and SVR. Conclusion is peri-operative IPC has no major adverse effects on hemodynamic parameters.

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“…Wang 45 reported IPC; PARRY and Richardson 27,39 compared two prophylactic regimes (LMWH vs LMWH + IPC) and Rollins 34 presented perioperative prophylaxis for VTEs including intraoperative intermittent pneumatic leg compression, prophylactic enoxaparin, and graduated stockings during in-hospital period.…”

Section: Discussionmentioning

confidence: 99%

“…Wang 45 conducted a randomized trial with 495 surgical patients diagnosed lung cancer. They were randomly assigned to either receive IPC using the Kendall SCDTM express sequential compression system or a control group using sealed envelopes during the surgery.…”

Section: Description Of Studiesmentioning

confidence: 99%

The venous thromboembolism prophylaxis in patients receiving thoracic surgery: A systematic review

Wang

Ding

Yang

2020

Asia-Pac J Clncl Oncology

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Objectives: Venous thromboembolism (VTE) is a significant and preventable cause of mortality and morbidity in thoracic surgery. It usually deep venous thromboembolism (DVT) and pulmonary thromboembolism (PE). We conducted this article to perform a systematic review on prophylaxis of perioperative VTE in patients undergoing thoracic surgery especially lung surgery and esophageal surgery and to identify potential areas for future research. Methods:The systematic review we conducted included studies of patients undergoing thoracic surgery especially lung surgery and esophageal surgery Results:The study identified 2621 references. Finally, 22 trials with a total of 9072 patients were included. Only six studies declared that they continued a follow-up after the discharge of the patients. (range: 1-3 months); three studies reported on major bleeding events as an outcome measure, and the incidence varied from 0.8% to 1.6%.Total 346 VTEs occurred, and the overall mean risk of VTE was estimated at 3.8% (range: 0.77-27%). Conclusions:The evidence for using thromboprophylaxis in thoracic surgery is limited and controversial, predominantly based on clinical consensus. Future research is needed to focus on identifying risk of VTE and providing sufficient evidence with high quality to support clinical strategies concerning the prophylaxis for VTE.

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Effectiveness of intraoperative administration of intermittent pneumatic compression in preventing deep vein thrombosis in lung cancer patients undergoing video-assisted thoracoscopic surgery lobectomy

Cited by 13 publications

References 25 publications

Efficacy of self-heating calf sleeves for preventing deep vein thrombosis in lung cancer patients who undergo video-assisted thoracoscopic surgery lobectomy

Efficacy of self-heating calf sleeves for preventing deep vein thrombosis in lung cancer patients who undergo video-assisted thoracoscopic surgery lobectomy

Pilot Study of Effects of Intermittent Pneumatic Compression in the Immediate Peri-Operative Period on Hemodynamic Parameters in Patients After Laparoscopic Gynecologic Surgery

The venous thromboembolism prophylaxis in patients receiving thoracic surgery: A systematic review

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