Relationship between functional end-to-end anastomosis for colon cancer and surgical site infections

Purpose Surgical site infections (SSI) are a common complication of gastrointestinal tract surgery. In this study, we explored the correlation between the anastomosis method and the incidence of SSI. Methods A total of 110 patients underwent ileocecal resection or right hemicolectomy for the excisio...

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Veröffentlicht in:Surgery today (Tokyo, Japan) Japan), 2015-12, Vol.45 (12), p.1489-1492
Hauptverfasser: Ojima, Hitoshi, Sohda, Makoto, Ando, Hiroyuki, Sano, Akihiko, Fukai, Yasuyuki, Ogawa, Atsushi, Mochida, Yasushi, Kuwano, Hiroyuki
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container_end_page 1492
container_issue 12
container_start_page 1489
container_title Surgery today (Tokyo, Japan)
container_volume 45
creator Ojima, Hitoshi
Sohda, Makoto
Ando, Hiroyuki
Sano, Akihiko
Fukai, Yasuyuki
Ogawa, Atsushi
Mochida, Yasushi
Kuwano, Hiroyuki
description Purpose Surgical site infections (SSI) are a common complication of gastrointestinal tract surgery. In this study, we explored the correlation between the anastomosis method and the incidence of SSI. Methods A total of 110 patients underwent ileocecal resection or right hemicolectomy for the excision of colon cancer. Two methods (open and closed, 28 and 82 patients, respectively) of functional end-to-end anastomosis were adopted. Results Increased perioperative blood loss ( p  = 0.029214), a longer hospital stay ( p  = 0.026668) and the development of SSI ( p  = 0.000181) were significantly correlated with the open method. There was no correlation between SSI and the body mass index, or between SSI and the length of the surgery or diabetes mellitus. However, patients that developed SSI tended to be obese. Conclusion The open method was associated with a higher incidence of SSI. Therefore, it is necessary to consider potential contamination of the surgical field at the time of anastomosis to reduce the incidence of SSI.
doi_str_mv 10.1007/s00595-015-1110-x
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In this study, we explored the correlation between the anastomosis method and the incidence of SSI. Methods A total of 110 patients underwent ileocecal resection or right hemicolectomy for the excision of colon cancer. Two methods (open and closed, 28 and 82 patients, respectively) of functional end-to-end anastomosis were adopted. Results Increased perioperative blood loss ( p  = 0.029214), a longer hospital stay ( p  = 0.026668) and the development of SSI ( p  = 0.000181) were significantly correlated with the open method. There was no correlation between SSI and the body mass index, or between SSI and the length of the surgery or diabetes mellitus. However, patients that developed SSI tended to be obese. Conclusion The open method was associated with a higher incidence of SSI. 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In this study, we explored the correlation between the anastomosis method and the incidence of SSI. Methods A total of 110 patients underwent ileocecal resection or right hemicolectomy for the excision of colon cancer. Two methods (open and closed, 28 and 82 patients, respectively) of functional end-to-end anastomosis were adopted. Results Increased perioperative blood loss ( p  = 0.029214), a longer hospital stay ( p  = 0.026668) and the development of SSI ( p  = 0.000181) were significantly correlated with the open method. There was no correlation between SSI and the body mass index, or between SSI and the length of the surgery or diabetes mellitus. However, patients that developed SSI tended to be obese. Conclusion The open method was associated with a higher incidence of SSI. Therefore, it is necessary to consider potential contamination of the surgical field at the time of anastomosis to reduce the incidence of SSI.</description><subject>Aged</subject><subject>Anastomosis, Surgical - instrumentation</subject><subject>Anastomosis, Surgical - methods</subject><subject>Blood Loss, Surgical - statistics &amp; numerical data</subject><subject>Colonic Neoplasms - surgery</subject><subject>Digestive System Surgical Procedures - methods</subject><subject>Equipment Contamination - prevention &amp; control</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Obesity</subject><subject>Original Article</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Surgical Wound Infection - epidemiology</subject><subject>Surgical Wound Infection - etiology</subject><subject>Surgical Wound Infection - prevention &amp; 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subjects Aged
Anastomosis, Surgical - instrumentation
Anastomosis, Surgical - methods
Blood Loss, Surgical - statistics & numerical data
Colonic Neoplasms - surgery
Digestive System Surgical Procedures - methods
Equipment Contamination - prevention & control
Female
Humans
Incidence
Male
Medicine
Medicine & Public Health
Obesity
Original Article
Retrospective Studies
Surgery
Surgical Oncology
Surgical Wound Infection - epidemiology
Surgical Wound Infection - etiology
Surgical Wound Infection - prevention & control
title Relationship between functional end-to-end anastomosis for colon cancer and surgical site infections
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