Tomioka Kodai, Murakami Masahiko, Fujimori Akira, Watanabe Makoto, Koizumi Tomotake, Goto Satoru, Otsuka Koji, Aoki Takeshi
Department of Surgery, Division of Gastroenterological and General Surgery, Showa University, Tokyo, Japan
Department of Surgery, Division of Gastroenterological and General Surgery, Showa University, Tokyo, Japan.
In Vivo. 2017 Sep-Oct;31(5):943-948. doi: 10.21873/invivo.11151.
To investigate the risk factors of transumbilical incision for organ removal in laparoscopic surgery.
We enrolled 643 consecutive patients undergoing laparoscopic surgery from 2010 to 2013. Superficial surgical site infection (SSI) and transumbilical port site hernia were recorded.
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.
Especially in relation to hernia, being female and having diabetes mellitus were considered independent risk factors.
探讨腹腔镜手术经脐切口进行器官切除的危险因素。
我们纳入了2010年至2013年连续接受腹腔镜手术的643例患者。记录浅表手术部位感染（SSI）和经脐端口部位疝。
参与者接受了胃（n = 253）和结直肠（n = 390）切除术。17例观察到SSI（15例为结直肠；2例为胃）（2.64%），结直肠切除术的SSI发生率较高[比值比（OR）= 5.020；p = 0.022]。23例发生疝（22例为结直肠；1例为胃）（3.53%），结直肠切除术的发生率显著更高（OR = 13.052；p < 0.001）。女性（OR = 5.410；p = 0.021）和糖尿病史（OR = 4.437；p = 0.009）是发生疝的危险因素。
尤其是对于疝而言，女性和患有糖尿病被认为是独立的危险因素。
