RT Journal Article
SR Electronic
T1 Risk Factors for Transumbilical Wound Complications in Laparoscopic Gastric and Colorectal Surgery
JF In Vivo
JO In Vivo
FD International Institute of Anticancer Research
SP 943
OP 948
VO 31
IS 5
A1 KODAI TOMIOKA
A1 MASAHIKO MURAKAMI
A1 AKIRA FUJIMORI
A1 MAKOTO WATANABE
A1 TOMOTAKE KOIZUMI
A1 SATORU GOTO
A1 KOJI OTSUKA
A1 TAKESHI AOKI
YR 2017
UL http://iv.iiarjournals.org/content/31/5/943.abstract
AB Aim: To investigate the risk factors of transumbilical incision for organ removal in laparoscopic surgery. Patients and Methods: We enrolled 643 consecutive patients undergoing laparoscopic surgery from 2010 to 2013. Superficial surgical site infection (SSI) and transumbilical port site hernia were recorded. Results: The participants underwent gastric (n=253) and colorectal (n=390) resections. SSI was observed in 17 cases (colorectal in 15; gastric in two) (2.64%) with colorectal resection having a high rate of SSI [odds ratio (OR)=5.020; p=0.022]. Hernia occurred in 23 cases (colorectal in 22; gastric in one) (3.53%), with a significantly higher rate for colorectal resection (OR=13.052; p<0.001). Female (OR=5.410; p=0.021) and history of diabetes mellitus (OR=4.437; p=0.009) contributed to the risk for developing a hernia. Conclusion: Especially in relation to hernia, being female and having diabetes mellitus were considered independent risk factors.