结直肠癌开放手术后切口疝的发生率及危险因素
Incidence and risk factors for incisional hernia after open surgery for colorectal cancer.
作者信息
Nakayama Mao, Yoshimatsu Kazuhiko, Yokomizo Hajime, Yano Yuki, Okayama Sachiyo, Satake Masaya, Matsumoto Atsuo, Fujimoto Takashi, Usui Takebumi, Yamaguchi Kentaro, Shiozawa Shunichi, Shimakawa Takeshi, Katsube Takao, Naritaka Yoshihiko
出版信息
Hepatogastroenterology. 2014 Jul-Aug;61(133):1220-3.
BACKGROUND/AIMS: To confirm the incidence and risk factors of incisional hernia after colorectal cancer surgery, we analyzed the clinical data including the surveillance computed tomography (CT) examination.
METHODOLOGY
One hundred sixty seven patients with open abdominal surgery for colorectal cancer were analyzed retrospectively.
RESULTS
Incisional hernia was recognized in 27 cases (16.2%), and occurred at median 7 (1-21) months after surgery. Multivariate analysis showed the risk factors for incisional hernia were female (p=0.0014), distal colon and rectal cancer (p=0.0038), high body mass index (p=0.0055) and lower serum albumin (p=0.0081).
CONCLUSIONS
Obesity, lower median incision and malnutrition might seem to relate to the incisional hernia after colorectal cancer surgery.
背景/目的：为了确定结直肠癌手术后切口疝的发生率及危险因素，我们分析了包括监测计算机断层扫描（CT）检查在内的临床数据。
方法
对167例行开放性结直肠癌腹部手术的患者进行回顾性分析。
结果
27例（16.2%）患者发生切口疝，术后发生切口疝的中位时间为7（1 - 21）个月。多因素分析显示，切口疝的危险因素为女性（p = 0.0014）、远端结肠癌和直肠癌（p = 0.0038）、高体重指数（p = 0.0055）及低血清白蛋白（p = 0.0081）。
结论
肥胖、低位正中切口及营养不良似乎与结直肠癌手术后切口疝有关。
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