Risk Factors for Wound Infection After Laparoscopic Surgery for Colon Cancer

被引:17
作者
Nakamura, Takatoshi [1 ]
Takayama, Yoko [2 ]
Sato, Takeo [1 ]
Watanabe, Masahiko [1 ]
机构
[1] Kitasato Univ, Sch Med, Dept Colorectal Surg, Tokyo, Japan
[2] Kitasato Univ, Sch Med, Dept Infect Control & Infect Dis, Res & Dev Ctr New Med Frontiers, Tokyo, Japan
关键词
functional end-to-end; PDS Puls; risk factor; retrospective study; SURGICAL SITE INFECTION; COATED SUTURES REDUCE; SERUM-ALBUMIN LEVEL; TRICLOSAN; PREVENTION; PREDICTORS; MORTALITY;
D O I
10.1097/SLE.0000000000000735
中图分类号
R61 [外科手术学];
学科分类号
摘要
Objective: To clarify risk factors for wound infection after laparoscopic surgery for colon cancer. Subjects and Methods: The study group comprised 1144 patients. Univariate and multivariate analyses were performed to assess the following 14 postoperative risk factors for wound infection. Results: Univariate analysis showed that the following 4 risk factors were related to wound infection: tumor location right-sided colon cancer, a preoperative serum albumin level of <= 2.5 g/dL, anastomotic technique [functional end-to-end anastomosis (FEEA)], and sutures used at the time of wound closure non-polydioxanone sutures (PDS)-Plus. Multivariate analysis indicated that 3 factors were independent risk factors for wound infection: a preoperative serum albumin level of <= 2.5 g/dL, FEEA, and the use of non-PDS-Plus sutures wound closure. Conclusions: Risk factors for wound infection after laparoscopic surgery for colon cancer were a preoperative serum albumin level of <= 2.5 g/dL, FEEA, and the use of non-PDS-Plus sutures.
引用
收藏
页码:45 / 48
页数:4
相关论文
共 21 条
[1]   SERUM-ALBUMIN LEVEL AND PHYSICAL-DISABILITY AS PREDICTORS OF MORTALITY IN OLDER PERSONS [J].
CORTI, MC ;
GURALNIK, JM ;
SALIVE, ME ;
SORKIN, JD .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 272 (13) :1036-1042
[2]   Effectiveness of triclosan-coated PDS Plus versus uncoated PDS II sutures for prevention of surgical site infection after abdominal wall closure: the randomised controlled PROUD trial [J].
Diener, Markus K. ;
Knebel, Phillip ;
Kieser, Meinhard ;
Schueler, Philipp ;
Schiergens, Tobias S. ;
Atanassov, Vladimir ;
Neudecker, Jens ;
Stein, Erwin ;
Thielemann, Henryk ;
Kunz, Reiner ;
von Frankenberg, Moritz ;
Schernikau, Utz ;
Bunse, Joerg ;
Jansen-Winkeln, Boris ;
Partecke, Lars I. ;
Prechtl, Gerald ;
Pochhammer, Julius ;
Bouchard, Ralf ;
Hodina, Rene ;
Beckurts, K. Tobias E. ;
Leissner, Lothar ;
Lemmens, Hans-Peter ;
Kallinowski, Friedrich ;
Thomusch, Oliver ;
Seehofer, Daniel ;
Simon, Thomas ;
Hyhlik-Duerr, Alexander ;
Seiler, Christoph M. ;
Hackert, Thilo ;
Reissfelder, Christoph ;
Hennig, Rene ;
Doerr-Harim, Colette ;
Klose, Christina ;
Ulrich, Alexis ;
Buechler, Markus W. .
LANCET, 2014, 384 (9938) :142-152
[3]   Bacterial adherence to surgical sutures: Can antibacterial-coated sutures reduce the risk of microbial contamination? [J].
Edmiston, Charles E. ;
Seabrook, Gary R. ;
Goheen, Michael P. ;
Krepel, Candace J. ;
Johnson, Christopher P. ;
Lewis, Brian D. ;
Brown, Kellie R. ;
Towne, Jonathan B. .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2006, 203 (04) :481-489
[4]   Predictors of wound infection in elective colorectal surgery. Multicenter observational case-control study [J].
Fraccalvieri, Domenico ;
Kreisler Moreno, Esther ;
Flor Lorente, Blas ;
Torres Garcia, Antonio ;
Munoz Calero, Alberto ;
Mateo Vallejo, Francisco ;
Biondo, Sebastiano .
CIRUGIA ESPANOLA, 2014, 92 (07) :478-484
[5]   Preoperative serum albumin level as a predictor of operative mortality and morbidity - Results from the national VA surgical risk study [J].
Gibbs, J ;
Cull, W ;
Henderson, W ;
Daley, J ;
Hur, K ;
Khuri, SF .
ARCHIVES OF SURGERY, 1999, 134 (01) :36-42
[6]   Study of the efficacy of Coated VICRYL Plus® Antibacterial suture (coated Polyglactin 910 suture with Triclosan) in two animal models of general surgery [J].
Gomez-Alonso, A. ;
Garcia-Criado, F. J. ;
Parreno-Manchado, F. C. ;
Garcia-Sanchez, J. E. ;
Garcia-Sanchez, E. ;
Parreno-Manchado, A. ;
Zambrano-Cuadrado, Y. .
JOURNAL OF INFECTION, 2007, 54 (01) :82-88
[7]   Low preoperative serum albumin in colon cancer: a risk factor for poor outcome [J].
Lai, Cheng-Chou ;
You, Jeng-Fu ;
Yeh, Chien-Yuh ;
Chen, Jinn-Shiun ;
Tang, Reiping ;
Wang, Jeng-Yi ;
Chin, Chih-Chien .
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 2011, 26 (04) :473-481
[8]   The association of diabetes and glucose control with surgical-site infections among cardiothoracic surgery patients [J].
Latham, R ;
Lancaster, AD ;
Covington, JF ;
Pirolo, JS ;
Thomas, CS .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2001, 22 (10) :607-612
[9]   Guideline for Prevention of Surgical Site Infection, 1999 [J].
Mangram, AJ ;
Horan, TC ;
Pearson, ML ;
Silver, LC ;
Jarvis, WR .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 1999, 20 (04) :250-278
[10]   Risk factors for wound infection after surgery for colorectal cancer [J].
Nakamura, Takatoshi ;
Mitomi, Hiroyuki ;
Ihara, Atsushi ;
Onozato, Wataru ;
Sato, Takeo ;
Ozawa, Heita ;
Hatade, Kazuhiko ;
Watanabe, Masahiko .
WORLD JOURNAL OF SURGERY, 2008, 32 (06) :1138-1141