Research on the Identification of VTE Risk Factors and Prevention Strategies in Patients with Primary Liver Cancer after Laparoscopic Precise Hepatectomy Based on Evidence-Based Research
LIU Zhu
CHEN Xiangyu
TAN Jie
Abstract：Objective:Based on evidence-based identification of the risk factors of VTE in patients with primary liver cancer(PLC)after laparoscopic precise hepatectomy,and accordingly formulating prevention strategies.Method:121 patients with PLC admitted to Deyang People's Hospital from January 2023 to December 2024 were selected for the study.According to whether the patients were diagnosed with venous thromboembolism(VTE),they were divided into the VTE group(32 cases)and the non-VTE group(89 cases).Based on the idea of evidence-based medicine and referring to the relevant literature published at home and abroad,a special questionnaire on the related factors of VTE in patients with PLC after laparoscopic precise hepatectomy was compiled.logistic regression analysis was given for the factors with statistical differences in the univariate analysis after variable assignment.Result:High body mass index,operation time>240 min,high Caprini score,bed rest time>48 h,combined portal vein tumor thrombus,and D-dimer>3,000 μg/L on the first day after surgery were independent inducing factors affecting the occurrence of VTE after laparoscopic precise hepatectomy in PLC patients(OR>1,P<0.05).Conclusion:There are many independent risk factors influencing the occurrence of VTE in patients with PLC after laparoscopic precise hepatectomy.Therefore,more attention should be paid to such patients in clinical practice.It is recommended to adopt the above preventive intervention strategies in a timely manner at an early stage in order to reduce the incidence of VTE in patients with PLC after laparoscopic precise hepatectomy.
Keywords：Evidence-basedPrimary liver cancerLaparoscopic precise hepatectomyVenous thromboembolismRisk factorsPreventive strategy
Publication Date：2026-01-15
Online Publishing Date：2026-02-02(First online date of this platform, not the publication date of the document)
Pages：5( 16-20 )