Incisional surgical site infection after elective open surgery for colorectal cancer.

IF 1.6 Q4 ONCOLOGY

International Journal of Surgical Oncology Pub Date : 2014-01-01 Epub Date: 2014-03-27 DOI:10.1155/2014/419712

Kosuke Ishikawa, Takaya Kusumi, Masao Hosokawa, Yasunori Nishida, Sosuke Sumikawa, Hiroshi Furukawa

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引用次数: 32

Abstract

Background: The purpose of this study was to clarify the incidence and risk factors for incisional surgical site infections (SSI) in patients undergoing elective open surgery for colorectal cancer.

Methods: We conducted prospective surveillance of incisional SSI after elective colorectal resections performed by a single surgeon for a 1-year period. Variables associated with infection, as identified in the literature, were collected and statistically analyzed for their association with incisional SSI development.

Results: A total of 224 patients were identified for evaluation. The mean patient age was 67 years, and 120 (55%) were male. Thirty-three (14.7%) patients were diagnosed with incisional SSI. Multivariate analysis suggested that incisional SSI was independently associated with TNM stages III and IV (odds ratio [OR], 2.4) and intraoperative hypotension (OR, 3.4).

Conclusions: The incidence of incisional SSI in our cohort was well within values generally reported in the literature. Our data suggest the importance of the maintenance of intraoperative normotension to reduce the development of incisional SSI.

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结直肠癌择期开放手术后切口手术部位感染。

背景:本研究的目的是阐明结肠直肠癌择期开放手术患者手术切口感染(SSI)的发生率和危险因素。方法:我们对一名外科医生在择期结肠直肠癌切除术后切口SSI进行了为期1年的前瞻性监测。收集文献中发现的与感染相关的变量，并对其与切口SSI发展的关系进行统计分析。结果:共确定224例患者进行评估。患者平均年龄67岁，男性120例(55%)。33例(14.7%)患者诊断为切口SSI。多因素分析表明，切口SSI与TNM III期和IV期(优势比[OR]， 2.4)和术中低血压(OR, 3.4)独立相关。结论:我们的队列中切口SSI的发生率在文献中普遍报道的值范围内。我们的数据提示术中维持正常血压对于减少切口SSI的发生具有重要意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Surgical Oncology ONCOLOGY-

CiteScore

3.70

自引率

0.00%

发文量

审稿时长

20 weeks

期刊介绍： International Journal of Surgical Oncology is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of surgical oncology.