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General Article
Anesthesia and Pain Medicine 2010;5(4):365-371.
Published online October 31, 2010.
Comparison of perioperative thromboelastography between open and laparoscopic colorectal surgery
Eun Jung Cho, Jaemin Lee, Chul Soo Park
1Department of Anesthesiology and Pain Medicine, Incheon St. Mary's Hospital, Incheon, Korea.
2Department of Anesthesiology and Pain Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea. p6c8s17@catholic.ac.kr
Abstract
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, alpha 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
Key Words: Colorectal surgery, Laparoscopy, Thromboelastography


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