Departmental Bulletin Paper 原発性胃癌に対する術後抗凝固療法 : 関連病院におけるアンケート結果報告

貝田, 佐知子  ,  山口, 剛  ,  大竹, 玲子  ,  村田, 聡  ,  山本, 寛  ,  植木, 智之  ,  三宅, 亨  ,  村上, 耕一郎  ,  赤堀, 浩也  ,  太田, 裕之  ,  園田, 寛道  ,  清水, 智治  ,  塩見, 尚礼  ,  目片, 英治  ,  遠藤, 善裕  ,  仲, 成幸  ,  安, 炳九  ,  飯田, 洋也  ,  井内, 武和  ,  池添, 清彦  ,  一瀬, 真澄  ,  宇治, 祥隆  ,  箙, 洋三  ,  貝塚, 真知子  ,  柿原, 直樹  ,  神谷, 純広  ,  川崎, 誠康  ,  熊野, 公束  ,  小林, 知恵  ,  佐藤, 浩一郎  ,  龍田, 健  ,  田中, 彰恵  ,  束田, 宏明  ,  土橋, 洋史  ,  中村, 一郎  ,  西村, 彰一  ,  生内, 一夫  ,  長谷川, 均  ,  林, 直樹  ,  藤田, 益嗣  ,  藤野, 光廣  ,  水野, 文  ,  八木, 俊和  ,  矢澤, 武史  ,  山口, 智弘  ,  横田, 徹  ,  谷, 眞至

29 ( 1 )  , pp.51 - 54 , 2016-04-04 , 滋賀医科大学雑誌編集委員会
Description
Surgery for gastric cancer is categorized as high risk group of venous thromboembolism (VTE) after surgery. There are several established guideline to prevent VTE. However, there is no consistent method for prophylaxis. Objective: Retrospectively, we evaluated the prophylactic way to prevent VTE and the rate of laparoscopic surgery for gastric cancer in the Shiga University of Medical Science Hospital and affiliated hospitals. Methods: We survey the number of surgery for the gastric cancer in 2014 by questionnaire. Results: The hospital which cooperated with a questionnaire was 34 in 36(93.5%). 24 hospitals answered the number of the operations for gastric cancer in 2014, and total number was 795 cases. In that cases, laparoscopic surgery were 306 cases (38.4%). For VTE prophylaxis, the hospitals which used stockings, the intermittent air pressure method (foot pump) for the postoperative period were 16 (55.2%), and which administered anticoagulants were 13 (44.8%), in which used heparin were 2, fondaparinux was 1, and enoxaparin was 10 hospitals. Conclusions: In our hospital, there were no VTE and bleeding cases. In order to perceive precise incidence and clinical influence of VTE, we plan to conduct a perspective clinical trial in cooperation with affiliated hospitals.
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