Key result
Laparoscopic colorectal surgery linked to ~59% lower 30-day VTE risk versus open surgery.
Why the study?
Does laparoscopic colorectal surgery reduce venous thromboembolism in patients undergoing major colorectal procedures compared to open surgery?
Population
31,109 patients who underwent major colorectal procedures for cancer, IBD, diverticular disease, and other…
Comparison
Laparoscopic colorectal surgery vs Open colorectal surgery
Design
Cohort
Follow-up
30 days
Authors
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Supports VTE risk reduction with laparoscopy in colorectal surgery; leaves open need for randomized confirmation before practice change.
Cohort (n=31,109)
Yes
Does laparoscopic colorectal surgery reduce venous thromboembolism in patients undergoing major colorectal procedures compared to open surgery?
Absolute Event Rate: 1.2% vs 2.9%
p-value: p=< .001
Laparoscopic colorectal surgery is independently associated with a lower risk of postoperative venous thromboembolism compared to open surgery.
Shapiro et al. (2011) conducted a cohort in Colorectal surgery (n=31,109). Laparoscopic surgery vs. Open surgery was evaluated on Deep venous thrombosis and pulmonary embolism within 30 days of surgery (p=< .001). Laparoscopic colorectal surgery was associated with a significantly lower 30-day venous thromboembolism rate compared to open surgery (1.2% vs 2.9%, P<.001).
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