Intervention Strategies to Reduce Surgical Site Infection Rates in Patients Undergoing Rectal Cancer Surgery

被引：4

作者：

Okada, Masamichi ^{[1
]}

Kawai, Kazushige ^{[1
]}

Sasaki, Kazuhito ^{[1
]}

Nozawa, Hiroaki ^{[1
]}

Kaneko, Manabu ^{[1
]}

Murono, Koji ^{[1
]}

Emoto, Shigenobu ^{[1
]}

Iida, Yuuki ^{[1
]}

Ishii, Hiroaki ^{[1
]}

Yokoyama, Yuichiro ^{[1
]}

Anzai, Hiroyuki ^{[1
]}

Sonoda, Hirofumi ^{[1
]}

Ishihara, Soichiro ^{[1
]}

机构：

[1] Univ Tokyo, Dept Surg Oncol, Tokyo, Japan

来源：

IN VIVO | 2022年 / 36卷 / 01期

关键词：

Anastomotic leakage; intervention strategy; rectal surgery; surgical site infection; COLORECTAL SURGERY; ELECTIVE COLON; RISK-FACTORS; ABDOMINOPERINEAL RESECTION; LAPAROSCOPIC SURGERY; ANASTOMOTIC LEAKAGE; BOWEL PREPARATION; WOUND-INFECTION; PREVENTION; METAANALYSIS;

D O I：

10.21873/invivo.12722

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Background/Aim: This study aimed to determine the effectiveness of surgical site infection (SSI) prevention approaches in rectal cancer surgery. Patients and Methods: A total of 1,408 patients who underwent elective rectal cancer surgery between 1995 and 2017 were reviewed. Patients were divided into three groups: control group (group A, n=245), SSI prevention intervention group (group B, n=516), and laparoscopic or robotic surgery group (group C, n=647). The groups were compared in terms of SSI and anastomotic leakage (AL) incidences, and risk factors for SSI were investigated. Results: The overall SSI and AL rates were 19.4% and 3.6%, respectively. These rates were significantly lower in Group C (9.3%, 1.7%), compared to Groups A (40.0%, 6.1%) and B (22.5%, 3.5%). intraoperative bleeding, lack of absorbable sutures, lack of mechanical bowel preparation, and lack of oral antibiotics were independently associated with SSI. Conclusion: SSI reduction after rectal cancer surgery was achieved through various intervention strategies.

引用

页码：439 / 445

页数：7

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