结肠癌功能性端端吻合术与手术部位感染之间的关系。
Relationship between functional end-to-end anastomosis for colon cancer and surgical site infections.
作者信息
Ojima Hitoshi, Sohda Makoto, Ando Hiroyuki, Sano Akihiko, Fukai Yasuyuki, Ogawa Atsushi, Mochida Yasushi, Kuwano Hiroyuki
机构信息
Department of Gastroenterological Surgery, Gunma Prefectural Cancer Center, 617-1 Takabayashi-Nishi, Ota, Gunma, 373-8550, Japan.
Department of General Surgical Science, Gunma University Faculty of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan.
出版信息
Surg Today. 2015 Dec;45(12):1489-92. doi: 10.1007/s00595-015-1110-x. Epub 2015 Jan 9.
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.
目的
手术部位感染（SSI）是胃肠道手术常见的并发症。在本研究中，我们探讨了吻合方法与SSI发生率之间的相关性。
方法
共有110例患者因结肠癌切除接受回盲部切除术或右半结肠切除术。采用了两种功能性端端吻合方法（开放法和闭合法，分别为28例和82例患者）。
结果
围手术期失血量增加（p = 0.029214）、住院时间延长（p = 0.026668）以及SSI的发生（p = 0.000181）与开放法显著相关。SSI与体重指数之间、SSI与手术时长或糖尿病之间均无相关性。然而，发生SSI的患者往往肥胖。
结论
开放法与较高的SSI发生率相关。因此，在吻合时需要考虑手术区域的潜在污染，以降低SSI的发生率。
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