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 |
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container_title | Surgery today (Tokyo, Japan) |
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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 |
format | Article |
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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.</description><identifier>ISSN: 0941-1291</identifier><identifier>EISSN: 1436-2813</identifier><identifier>DOI: 10.1007/s00595-015-1110-x</identifier><identifier>PMID: 25572433</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>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</subject><ispartof>Surgery today (Tokyo, Japan), 2015-12, Vol.45 (12), p.1489-1492</ispartof><rights>Springer Japan 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c504t-3382fec1859fe0797479e2075ba8bdb3a5298c1f565fca10b87555a2f6c70fe53</citedby><cites>FETCH-LOGICAL-c504t-3382fec1859fe0797479e2075ba8bdb3a5298c1f565fca10b87555a2f6c70fe53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00595-015-1110-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00595-015-1110-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25572433$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ojima, Hitoshi</creatorcontrib><creatorcontrib>Sohda, Makoto</creatorcontrib><creatorcontrib>Ando, Hiroyuki</creatorcontrib><creatorcontrib>Sano, Akihiko</creatorcontrib><creatorcontrib>Fukai, Yasuyuki</creatorcontrib><creatorcontrib>Ogawa, Atsushi</creatorcontrib><creatorcontrib>Mochida, Yasushi</creatorcontrib><creatorcontrib>Kuwano, Hiroyuki</creatorcontrib><title>Relationship between functional end-to-end anastomosis for colon cancer and surgical site infections</title><title>Surgery today (Tokyo, Japan)</title><addtitle>Surg Today</addtitle><addtitle>Surg Today</addtitle><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.</description><subject>Aged</subject><subject>Anastomosis, Surgical - instrumentation</subject><subject>Anastomosis, Surgical - methods</subject><subject>Blood Loss, Surgical - statistics & numerical data</subject><subject>Colonic Neoplasms - surgery</subject><subject>Digestive System Surgical Procedures - methods</subject><subject>Equipment Contamination - prevention & control</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & 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 & control</subject><issn>0941-1291</issn><issn>1436-2813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEFv1DAQhS0EokvhB3BBPnIxzNjxJj6iigJSJSQEZ8txxiVV1l48iSj_Hi9bOHJ60sz33uET4iXCGwTo3zKAdVYBWoWIoO4fiR12Zq_0gOax2IHrUKF2eCGeMd8B6G4AeCoutLW97ozZiekLLWGdS-bv81GOtP4kyjJtOZ6OYZGUJ7UW1UKGHHgth8Izy1SqjGUpWcaQI9X2nCRv9XaOrcTzSnLOif6s8HPxJIWF6cVDXopv1--_Xn1UN58_fLp6d6OihW5Vxgy6VXCwLhH0ru96Rxp6O4ZhnEYTrHZDxGT3NsWAMA69tTbotI89JLLmUrw-7x5r-bERr_4wc6RlCZnKxh57Y9B1Dk8ontFYC3Ol5I91PoT6yyP4k1x_luubXH-S6-9b59XD_DYeaPrX-GuzAfoMcHvlW6r-rmy1WeT_rP4G8FOGgg</recordid><startdate>20151201</startdate><enddate>20151201</enddate><creator>Ojima, Hitoshi</creator><creator>Sohda, Makoto</creator><creator>Ando, Hiroyuki</creator><creator>Sano, Akihiko</creator><creator>Fukai, Yasuyuki</creator><creator>Ogawa, Atsushi</creator><creator>Mochida, Yasushi</creator><creator>Kuwano, Hiroyuki</creator><general>Springer Japan</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20151201</creationdate><title>Relationship between functional end-to-end anastomosis for colon cancer and surgical site infections</title><author>Ojima, Hitoshi ; Sohda, Makoto ; Ando, Hiroyuki ; Sano, Akihiko ; Fukai, Yasuyuki ; Ogawa, Atsushi ; Mochida, Yasushi ; Kuwano, Hiroyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c504t-3382fec1859fe0797479e2075ba8bdb3a5298c1f565fca10b87555a2f6c70fe53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Anastomosis, Surgical - instrumentation</topic><topic>Anastomosis, Surgical - methods</topic><topic>Blood Loss, Surgical - statistics & numerical data</topic><topic>Colonic Neoplasms - surgery</topic><topic>Digestive System Surgical Procedures - methods</topic><topic>Equipment Contamination - prevention & control</topic><topic>Female</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obesity</topic><topic>Original Article</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Surgical Wound Infection - epidemiology</topic><topic>Surgical Wound Infection - etiology</topic><topic>Surgical Wound Infection - prevention & control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ojima, Hitoshi</creatorcontrib><creatorcontrib>Sohda, Makoto</creatorcontrib><creatorcontrib>Ando, Hiroyuki</creatorcontrib><creatorcontrib>Sano, Akihiko</creatorcontrib><creatorcontrib>Fukai, Yasuyuki</creatorcontrib><creatorcontrib>Ogawa, Atsushi</creatorcontrib><creatorcontrib>Mochida, Yasushi</creatorcontrib><creatorcontrib>Kuwano, Hiroyuki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery today (Tokyo, Japan)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ojima, Hitoshi</au><au>Sohda, Makoto</au><au>Ando, Hiroyuki</au><au>Sano, Akihiko</au><au>Fukai, Yasuyuki</au><au>Ogawa, Atsushi</au><au>Mochida, Yasushi</au><au>Kuwano, Hiroyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship between functional end-to-end anastomosis for colon cancer and surgical site infections</atitle><jtitle>Surgery today (Tokyo, Japan)</jtitle><stitle>Surg Today</stitle><addtitle>Surg Today</addtitle><date>2015-12-01</date><risdate>2015</risdate><volume>45</volume><issue>12</issue><spage>1489</spage><epage>1492</epage><pages>1489-1492</pages><issn>0941-1291</issn><eissn>1436-2813</eissn><abstract>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.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>25572433</pmid><doi>10.1007/s00595-015-1110-x</doi><tpages>4</tpages></addata></record> |
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source | MEDLINE; Springer Nature - Complete Springer Journals |
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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