[Do we use thromboprophylaxis rationally in minimally invasive laparoscopic surgery?].
The case of a patient who developed deep venous thrombosis of the lower extremities in the late postoperative course after laparoscopic cholecystectomy is presented. Thrombosis occurred in spite of correct prophylactic therapy. Factors influencing and predisposing to thromboembolism are reviewed, in particular the effect of pneumoperitoneum. Longer prophylaxis is probably required.
Femández Ruiz
M
M
Servicio de Cirugía General y Digestivo, Hospital San Millán, Logroño, La Rioja.
Lasierra Cirujeda
J
J
D000328:Adult; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D005260:Female; D006801:Humans; D015912:Thrombolytic Therapy; D013924:Thrombophlebitis / Q000209:etiology* / Q000517:prevention & control
Utilizamos racionalmente la tromboprofilaxis en la cirugía mínimamente invasiva por laparoscopia?