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International Urology and Nephrology

, Volume 46, Issue 11, pp 2139–2142 | Cite as

Incidence of postoperative deep vein thrombosis after robotic-assisted laparoscopic prostatectomy: a prospective study in Chinese patients

  • S. Y. S. Chan
  • V. F. Y. Leung
  • C. H. Yee
  • E. S. Y. Chan
  • S. S. M. Hou
  • W. Chu
  • C. F. NgEmail author
Urology - Original Paper

Abstract

Objective

To investigate the incidence of deep vein thrombosis (DVT) in Chinese patients undergoing robotic-assisted laparoscopic radical prostatectomy (RALP) for prostate cancer and the need for prophylactic anticoagulation.

Methods

From August 2007 to September 2010, patients with prostate cancer undergoing RALP in our center were prospectively recruited for the study. Perioperative parameters, including patients’ age, disease stage and pathology, and intraoperative findings were collected. All patients underwent Doppler ultrasonographic evaluation of their bilateral lower limbs on postoperation day 3 for any evidence of DVT. The incidence of and possible predisposing factors for DVT were determined.

Results

One hundred and nine consecutive patients were recruited during the study period. The incidence rate of post-RALP DVT was 16.9 % (18 cases), with only one patient (1 %) developing above-knee DVT. No patient developed DVT-associated complications during follow-up. Patients with DVT were older (69.2 ± 4.4 vs. 65 ± 5.8 years old; p = 0.05), had greater intraoperative blood loss (775 vs. 264.7 ml; p = 0.001) and required lengthier hospitalization (8.1 vs. 6.0 days; p = 0.013). However, no difference in smoking history, body mass index, history of diabetes, lymph node dissection or disease stage was observed between patients with and without DVT.

Conclusions

The post-RALP incidence of DVT in Chinese populations is not low. However, the majority of DVT cases are below the knee level and asymptomatic.

Keywords

Prostate cancer Deep vein thrombosis Robotic-assisted radical prostatectomy Chinese 

Notes

Conflict of interest

There is no conflict of interest related to this publication.

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Copyright information

© Springer Science+Business Media Dordrecht 2014

Authors and Affiliations

  • S. Y. S. Chan
    • 1
  • V. F. Y. Leung
    • 2
  • C. H. Yee
    • 1
  • E. S. Y. Chan
    • 1
  • S. S. M. Hou
    • 1
  • W. Chu
    • 2
  • C. F. Ng
    • 1
    • 3
    Email author
  1. 1.The SH Ho Urology Centre, Division of Urology, Department of SurgeryThe Chinese University of Hong KongShatinHong Kong
  2. 2.Department of Imaging and Interventional RadiologyThe Chinese University of Hong KongShatinHong Kong
  3. 3.Division of Urology, Department of Surgery, 4/F Clinical Science BuildingPrince of Wales HospitalShatinHong Kong

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