Surgical site infection rate is lower in laparoscopic than open colorectal surgery
Objective Few studies have investigated whether surgical site infection (SSI) incidence differs between laparoscopic colorectal surgery (LCS) and open colorectal surgery (OCS). This study investigated the SSI incidence using the validated UK SSI Surveillance Service (SSISS) criteria for diagnosing...
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| Veröffentlicht in: | Colorectal disease 2010-05, Vol.12 (5), p.423-427 |
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| creator | Howard, D. P. J. Datta, G. Cunnick, G. Gatzen, C. Huang, A. |
| description | Objective Few studies have investigated whether surgical site infection (SSI) incidence differs between laparoscopic colorectal surgery (LCS) and open colorectal surgery (OCS). This study investigated the SSI incidence using the validated UK SSI Surveillance Service (SSISS) criteria for diagnosing wound infections.
Method Prospective data collection recorded patients’ demographics, operative details, antibiotic use, wound evaluation and microbiological wound culture results, for consecutive patients undergoing elective resectional LCS and OCS. Postdischarge surveillance consisted of patient questionnaires sent out at 30 days and the primary care communication.
Results A total of 122 patients underwent colorectal resections over 1 year (LCS 43; OCS 79). Patients’ demographics and operative case‐mix were similar for both groups, including body mass index (BMI), diabetic and smoking status. Operative duration was longer in the LCS group compared with OCS group (P = 0.012, Mann–Whitney U‐test), but hospital stay was shorter for LCS (P = 0.0001, Mann–Whitney U‐test). The SSI rate was significantly lower in the LCS than OCS group (7%vs 25% respectively; P = 0.015, two‐tailed Fisher’s exact test). BMI > 30 and operation length > 4 h influenced the risk of SSI formation (P |
| doi_str_mv | 10.1111/j.1463-1318.2009.01817.x |
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Method Prospective data collection recorded patients’ demographics, operative details, antibiotic use, wound evaluation and microbiological wound culture results, for consecutive patients undergoing elective resectional LCS and OCS. Postdischarge surveillance consisted of patient questionnaires sent out at 30 days and the primary care communication.
Results A total of 122 patients underwent colorectal resections over 1 year (LCS 43; OCS 79). Patients’ demographics and operative case‐mix were similar for both groups, including body mass index (BMI), diabetic and smoking status. Operative duration was longer in the LCS group compared with OCS group (P = 0.012, Mann–Whitney U‐test), but hospital stay was shorter for LCS (P = 0.0001, Mann–Whitney U‐test). The SSI rate was significantly lower in the LCS than OCS group (7%vs 25% respectively; P = 0.015, two‐tailed Fisher’s exact test). BMI > 30 and operation length > 4 h influenced the risk of SSI formation (P < 0.05, chi‐squared test). One LCS patient required conversion to a limited laparotomy.
Conclusions Surgical site infection incidence is significantly lower following LCS when compared with OCS. Confounding factors in this study include patient selection for LCS and nonrandomization.</description><identifier>ISSN: 1462-8910</identifier><identifier>EISSN: 1463-1318</identifier><identifier>DOI: 10.1111/j.1463-1318.2009.01817.x</identifier><identifier>PMID: 19243392</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Body Mass Index ; Colectomy - methods ; Confounding Factors (Epidemiology) ; Female ; Humans ; Laparoscopic colorectal surgery ; Laparoscopy ; Male ; Middle Aged ; open colorectal surgery ; postdischarge surveillance ; Prospective Studies ; Risk Factors ; surgical site infection ; Surgical Wound Infection - epidemiology ; wound infection ; Young Adult</subject><ispartof>Colorectal disease, 2010-05, Vol.12 (5), p.423-427</ispartof><rights>2010 The Authors. Journal Compilation © 2010 The Association of Coloproctology of Great Britain and Ireland</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4737-7fb0cc164cfadcc19db822ebd7ea371a1f483c136c4340d984d3f5716e14cd663</citedby><cites>FETCH-LOGICAL-c4737-7fb0cc164cfadcc19db822ebd7ea371a1f483c136c4340d984d3f5716e14cd663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1463-1318.2009.01817.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1463-1318.2009.01817.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,782,786,1419,27931,27932,45581,45582</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19243392$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Howard, D. P. J.</creatorcontrib><creatorcontrib>Datta, G.</creatorcontrib><creatorcontrib>Cunnick, G.</creatorcontrib><creatorcontrib>Gatzen, C.</creatorcontrib><creatorcontrib>Huang, A.</creatorcontrib><title>Surgical site infection rate is lower in laparoscopic than open colorectal surgery</title><title>Colorectal disease</title><addtitle>Colorectal Dis</addtitle><description>Objective Few studies have investigated whether surgical site infection (SSI) incidence differs between laparoscopic colorectal surgery (LCS) and open colorectal surgery (OCS). This study investigated the SSI incidence using the validated UK SSI Surveillance Service (SSISS) criteria for diagnosing wound infections.
Method Prospective data collection recorded patients’ demographics, operative details, antibiotic use, wound evaluation and microbiological wound culture results, for consecutive patients undergoing elective resectional LCS and OCS. Postdischarge surveillance consisted of patient questionnaires sent out at 30 days and the primary care communication.
Results A total of 122 patients underwent colorectal resections over 1 year (LCS 43; OCS 79). Patients’ demographics and operative case‐mix were similar for both groups, including body mass index (BMI), diabetic and smoking status. Operative duration was longer in the LCS group compared with OCS group (P = 0.012, Mann–Whitney U‐test), but hospital stay was shorter for LCS (P = 0.0001, Mann–Whitney U‐test). The SSI rate was significantly lower in the LCS than OCS group (7%vs 25% respectively; P = 0.015, two‐tailed Fisher’s exact test). BMI > 30 and operation length > 4 h influenced the risk of SSI formation (P < 0.05, chi‐squared test). One LCS patient required conversion to a limited laparotomy.
Conclusions Surgical site infection incidence is significantly lower following LCS when compared with OCS. Confounding factors in this study include patient selection for LCS and nonrandomization.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Body Mass Index</subject><subject>Colectomy - methods</subject><subject>Confounding Factors (Epidemiology)</subject><subject>Female</subject><subject>Humans</subject><subject>Laparoscopic colorectal surgery</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>open colorectal surgery</subject><subject>postdischarge surveillance</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>surgical site infection</subject><subject>Surgical Wound Infection - epidemiology</subject><subject>wound infection</subject><subject>Young Adult</subject><issn>1462-8910</issn><issn>1463-1318</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkF1v2yAUhtHUqWmz_oWJu17Z5RgC5qbSlH5qUTrtQ8sdIhhvpI5xwVGTf1_cRNntuOEceM-DeBDCQHJI62qVA-M0AwplXhAicwIliHz7AZ0dL07e6yIrJZAROo9xRQhwAeUpGoEsGKWyOEPff2zCH2d0g6PrLXZtbU3vfIuDHtqIG_9qQzrHje508NH4zhnc_9Ut9p1tsfGND2lmICSUDbtP6GOtm2gvDvsY_bq7_Tl9yGZP94_TL7PMMEFFJuolMQY4M7WuUiGrZVkUdlkJq6kADTUrqQHKDaOMVLJkFa0nArgFZirO6Rhd7rld8C8bG3u1dtHYptGt9ZuoBKUTSSWHlCz3SZM-EIOtVRfcWoedAqIGoWqlBm9q8KYGoepdqNqm0c-HRzbLta3-DR4MpsD1PvDqGrv7b7CaPt08DmUCZHuAi73dHgE6PCuePE3U7_m9-ibFzWJB5-orfQM-K5SP</recordid><startdate>201005</startdate><enddate>201005</enddate><creator>Howard, D. P. J.</creator><creator>Datta, G.</creator><creator>Cunnick, G.</creator><creator>Gatzen, C.</creator><creator>Huang, A.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><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>201005</creationdate><title>Surgical site infection rate is lower in laparoscopic than open colorectal surgery</title><author>Howard, D. P. J. ; Datta, G. ; Cunnick, G. ; Gatzen, C. ; Huang, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4737-7fb0cc164cfadcc19db822ebd7ea371a1f483c136c4340d984d3f5716e14cd663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Body Mass Index</topic><topic>Colectomy - methods</topic><topic>Confounding Factors (Epidemiology)</topic><topic>Female</topic><topic>Humans</topic><topic>Laparoscopic colorectal surgery</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>open colorectal surgery</topic><topic>postdischarge surveillance</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>surgical site infection</topic><topic>Surgical Wound Infection - epidemiology</topic><topic>wound infection</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Howard, D. P. J.</creatorcontrib><creatorcontrib>Datta, G.</creatorcontrib><creatorcontrib>Cunnick, G.</creatorcontrib><creatorcontrib>Gatzen, C.</creatorcontrib><creatorcontrib>Huang, A.</creatorcontrib><collection>Istex</collection><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>Colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Howard, D. P. J.</au><au>Datta, G.</au><au>Cunnick, G.</au><au>Gatzen, C.</au><au>Huang, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical site infection rate is lower in laparoscopic than open colorectal surgery</atitle><jtitle>Colorectal disease</jtitle><addtitle>Colorectal Dis</addtitle><date>2010-05</date><risdate>2010</risdate><volume>12</volume><issue>5</issue><spage>423</spage><epage>427</epage><pages>423-427</pages><issn>1462-8910</issn><eissn>1463-1318</eissn><abstract>Objective Few studies have investigated whether surgical site infection (SSI) incidence differs between laparoscopic colorectal surgery (LCS) and open colorectal surgery (OCS). This study investigated the SSI incidence using the validated UK SSI Surveillance Service (SSISS) criteria for diagnosing wound infections.
Method Prospective data collection recorded patients’ demographics, operative details, antibiotic use, wound evaluation and microbiological wound culture results, for consecutive patients undergoing elective resectional LCS and OCS. Postdischarge surveillance consisted of patient questionnaires sent out at 30 days and the primary care communication.
Results A total of 122 patients underwent colorectal resections over 1 year (LCS 43; OCS 79). Patients’ demographics and operative case‐mix were similar for both groups, including body mass index (BMI), diabetic and smoking status. Operative duration was longer in the LCS group compared with OCS group (P = 0.012, Mann–Whitney U‐test), but hospital stay was shorter for LCS (P = 0.0001, Mann–Whitney U‐test). The SSI rate was significantly lower in the LCS than OCS group (7%vs 25% respectively; P = 0.015, two‐tailed Fisher’s exact test). BMI > 30 and operation length > 4 h influenced the risk of SSI formation (P < 0.05, chi‐squared test). One LCS patient required conversion to a limited laparotomy.
Conclusions Surgical site infection incidence is significantly lower following LCS when compared with OCS. Confounding factors in this study include patient selection for LCS and nonrandomization.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19243392</pmid><doi>10.1111/j.1463-1318.2009.01817.x</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Body Mass Index Colectomy - methods Confounding Factors (Epidemiology) Female Humans Laparoscopic colorectal surgery Laparoscopy Male Middle Aged open colorectal surgery postdischarge surveillance Prospective Studies Risk Factors surgical site infection Surgical Wound Infection - epidemiology wound infection Young Adult |
| title | Surgical site infection rate is lower in laparoscopic than open colorectal surgery |
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