Plastic wound protectors decreased surgical site infections following laparoscopic-assisted colectomy for colorectal cancer A retrospective cohort study

被引:2
作者
Luo, Yang [1 ]
Qiu, Yi-Er [1 ]
Mu, Yi-Fei [1 ]
Qin, Shao-Lan [1 ]
Qi, Yang [1 ]
Zhong, Ming [1 ]
Yu, Min-Hao [1 ]
Ma, Li-Ying [1 ]
机构
[1] Shanghai Jiao Tong Univ, Sch Med, Ren Ji Hosp, Dept Gastrointestinal Surg, 160 Pujian Rd, Shanghai 200127, Peoples R China
关键词
colorectal cancer; laparoscopic surgery; plastic wound protector; surgical site infections; RANDOMIZED CONTROLLED-TRIAL; COLON-CANCER; HERNIA REPAIR; RISK-FACTORS; MULTIVARIATE-ANALYSIS; EDGE PROTECTOR; CLINICAL-TRIAL; OPEN SURGERY; REDUCE; RATES;
D O I
10.1097/MD.0000000000007752
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Laparoscopic surgery is widespread and safe for the management of patients with colorectal cancer (CRC). Although the use of standard surgical techniques can prevent perioperative wound infections, surgical site infections (SSIs) remain an unresolved complication in laparoscopic-assisted colectomy. The present study investigated the ability of plastic wound protectors applied to the extraction incision during the externalized portion of the procedure to reduce the rate of infection in laparoscopic-assisted colectomy. We completed a retrospective review of the medical records of patients who underwent nonemergent laparoscopic-assisted between January 2015 and June 2016. Outcomes for patients with and without the use of a wound protector were compared. A total of 109 patients were included in this study. There was 1 patient in the wound protector group (n= 57) and 7 in the nonwound protector group (n= 52) who developed a wound infection at the colon extraction site (P=.02). Furthermore, the average postoperative hospital stay in the wound protector group was shorter compared to the nonwound protector group (7.47 +/- 0.24 vs 8.73 +/- 0.54 days, P=.03). In conclusion, this study indicates that the use of a plastic wound protector during laparoscope-assisted colectomy does reduce postoperative wound infection rates, and the wound protectors are beneficial for specimen extraction and digestive tract reconstruction.
引用
收藏
页数:5
相关论文
共 34 条
[1]  
Aimaq R, 2011, AM SURGEON, V77, P1290
[2]   Laparoscopic repair reduces incidence of surgical site infections for all ventral hernias [J].
Arita, Nestor A. ;
Nguyen, Mylan T. ;
Nguyen, Duyen H. ;
Berger, Rachel L. ;
Lew, Debbie F. ;
Suliburk, James T. ;
Askenasy, Erik P. ;
Kao, Lillian S. ;
Liang, Mike K. .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2015, 29 (07) :1769-1780
[3]   Laparoscopic-assisted vs. Open Colectomy for Cancer: Comparison of Short-term Outcomes from 121 Hospitals [J].
Bilimoria, Karl Y. ;
Bentrem, David J. ;
Merkow, Ryan P. ;
Nelson, Heidi ;
Wang, Edward ;
Ko, Clifford Y. ;
Soper, Nathaniel J. .
JOURNAL OF GASTROINTESTINAL SURGERY, 2008, 12 (11) :2001-2009
[4]   Risk factors for surgical site infection after elective resection for rectal cancer. A multivariate analysis on 2131 patients [J].
Biondo, S. ;
Kreisler, E. ;
Fraccalvieri, D. ;
Basany, E. E. ;
Codina-Cazador, A. ;
Ortiz, H. .
COLORECTAL DISEASE, 2012, 14 (03) :e95-e102
[5]  
Bonjer HJ, 2009, LANCET ONCOL, V10, P44, DOI 10.1016/S1470-2045(08)70310-3
[6]   Intraoperative use of fluorescent imaging with indocyanine green changes management of abdominal wall flaps during open ventral hernia repair [J].
Cho, Jonathan ;
May, Audriene ;
Ryan, Heidi ;
Tsuda, Shawn .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2015, 29 (07) :1709-1713
[7]   Outcome of patients with chronic mesh infection following abdominal wall hernia repair [J].
Chung, L. ;
Tse, G. H. ;
O'Dwyer, P. J. .
HERNIA, 2014, 18 (05) :701-704
[8]   Right colon, left colon, and rectal surgeries are not similar for surgical site infection development. Analysis of 277 elective and urgent colorectal resections [J].
Degrate, Luca ;
Garancini, Mattia ;
Misani, Marta ;
Poli, Silvia ;
Nobili, Cinzia ;
Romano, Fabrizio ;
Giordano, Laura ;
Motta, Vittorio ;
Uggeri, Franco .
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 2011, 26 (01) :61-69
[9]   Multivariate analysis of risk factors for surgical site infection after laparoscopic colorectal surgery [J].
Drosdeck, Joseph ;
Harzman, Alan ;
Suzo, Andrew ;
Arnold, Mark ;
Abdel-Rasoul, Mahmoud ;
Husain, Syed .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2013, 27 (12) :4574-4580
[10]   Wound Protectors Reduce Surgical Site Infection A Meta-Analysis of Randomized Controlled Trials [J].
Edwards, Janet P. ;
Ho, Adelyn L. ;
Tee, May C. ;
Dixon, Elijah ;
Ball, Chad G. .
ANNALS OF SURGERY, 2012, 256 (01) :53-59