Anaes Cases · Venous thromboembolism prophylaxis
The VTE prophylaxis for the cancer surgery
The long case — the very-high-VTE-risk pancreatic cancer surgery. The Caprini stratification, the in-hospital LMWH, the mechanical IPC, the extended 4-week prophylaxis, the bleeding balance, and the neuraxial caution.
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Prompt
A 68-year-old man for the open pancreatic cancer resection. Discuss the perioperative VTE prophylaxis plan, including the extended prophylaxis.
Presentation
A 68-year-old man, BMI 29, for the elective open pancreaticoduodenectomy (the Whipple) for the pancreatic adenocarcinoma. He has the type-2 diabetes and the hypertension. He has no prior VTE. Discuss the perioperative VTE prophylaxis plan.
References2ShowHide
- [4]Grochowska A, et al. Coagulation disorders and thromboprophylaxis in pancreatic cancer: a review of current evidence and clinical challenges. J Thromb Thrombolysis, 2026.PMID 41718997
- [5]Choi JDW, et al. Extended thromboprophylaxis after colorectal surgery. Int J Colorectal Dis, 2025.PMID 41065855