Division of Gastroenterological and General Surgery, Department of Surgery, School of Medicine, Showa University, Tokyo, Japan.
Division of Gastroenterological and General Surgery, Department of Surgery, School of Medicine, Showa University, Tokyo, Japan
Anticancer Res. 2020 Nov;40(11):6545-6550. doi: 10.21873/anticanres.14679.
BACKGROUND/AIM: To evaluate the complication rates and risk factors associated with transumbilical wounds and investigate the usefulness of an incision for organ removal in laparoscopic hepatectomy (Lap-H).
We enrolled 42 patients who underwent Lap-H excluding a small partial resection in our hospital between 2013 and 2018. The occurrences of superficial surgical site infection (SSI) and transumbilical port-site incisional hernia were recorded.
SSI was not observed, and hernia occurred in 3 patients (7.14%). Univariate analysis revealed that body mass index (BMI) (p=0.004) was significantly associated with the risk of hernia formation.
High BMI is a risk factor for hernia formation in patients undergoing Lap-H with transumbilical incision; hence, wound closure should be performed carefully. The construction of the transumbilical wound for organ removal was feasible with rationality, with no need to create a new wound.
背景/目的：评估经脐切口相关并发症发生率及危险因素，并探讨腹腔镜肝切除术（Lap-H）中经脐取器官切口的实用性。
我们纳入了 2013 年至 2018 年在我院行 Lap-H 术（不包括小部分切除术）的 42 例患者。记录了浅表手术部位感染（SSI）和经脐端口切口疝的发生情况。
未观察到 SSI，3 例（7.14%）发生疝。单因素分析显示，体质量指数（BMI）（p=0.004）与疝形成的风险显著相关。
BMI 高是行 Lap-H 术经脐切口患者疝形成的危险因素；因此，应仔细进行切口缝合。经脐切口构建用于取器官是合理的，无需另作切口。
