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KMID : 1155520100050040365
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Anesthesia and Pain Medicine
2010 Volume.5 No. 4 p.365 ~ p.371
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Comparison of perioperative thromboelastography between open and laparoscopic colorectal surgery
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Cho Eun-Jung
Lee Jae-Min
Park Chul-Soo
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Abstract
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Background:Laparoscopic surgery may affect the coagulation system in several ways. The purpose of this study was to compare the hemostatic changes between open and laparoscopic colorectal surgery by using thromboelastography.
Methods:Forty patients who were undergoing open (n = 15) or laparoscopic (n = 25) colorectal cancer surgery were included in this prospective study. Blood samples were drawn from a forearm vein by fresh venipunctures for determining the thromboelastography (TEG) parameters at after induction of anesthesia (T0), 2 hours after the beginning of surgery (T1), and immediately before discharge from the recovery room (T2).
Results:The PT-INR and aPTT did not show significant differences between laparoscopic and open colorectal surgery. There were no significant differences of the TEG parameters (R, K, MA, ? angle, CI, LY30 and CL30) between the two groups.
Conclusions:The overall coagulation and fibrinolysis detected by TEG were not different between laparoscopic and open colorectal surgery.
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KEYWORD
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Colorectal surgery, Laparoscopy, Thromboelastography
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