Deep venous thrombosis in patients undergoing salvage radical cystectomy

FRANCESCO MASTROENI, MAURIZIO ARAGONA, EMANUELE CALDARERA, ANTONELLO PICCOLO, SALVATORE ROTONDO, LUCA SPINNATO, CARLO ARAGONA

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Archivos Españoles de Urología ›› 2001, Vol. 54 ›› Issue (8) : 839-841.
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Deep venous thrombosis in patients undergoing salvage radical cystectomy

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Abstract

OBJECTIVE: The possible occurrence of venous thrombosis in tumor-bearing patients had already been reported by Trousseau in the past century. The blood clotting alterations in cancer-bearing patients can cause Deep Venous Thrombosis (DVT), especially in those patients with disseminated metastases. Anti-tumor chemotherapy can increase the risk of thrombosis. Herein we report our past experience on a sample of patients who underwent pelvic surgery to treat infiltrating bladder tumors. METHODS: We have retrospectively analyzed the records of patients with infiltrating bladder tumors who underwent salvage radical cystectomy. RESULTS: We observed the highest incidence of DVT (33.3%; 3 out of 9)in those patients with a higher risk due to anesthesia and an absolute need for extensive surgery. One of our patients died of pulmonary embolism. CONCLUSION: The diagnosis of DVT and Pulmonary Embolism is not always easy to achieve and all possible tests must be performed whenever possible (e.g. clinical examination, hematological test, etc.).

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Venous thrombosis / Pelvic surgery / Tumor

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FRANCESCO MASTROENI , MAURIZIO ARAGONA , EMANUELE CALDARERA , ANTONELLO PICCOLO , SALVATORE ROTONDO , LUCA SPINNATO , CARLO ARAGONA. Deep venous thrombosis in patients undergoing salvage radical cystectomy. Archivos Españoles de Urología. 2001, 54(8): 839-841

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