Gao Xiang, Yang Ting-Kai, Xiao Jian-Chun, Qu Qiang, Hong Tao
Department of General Surgery,PUMC Hospital,CAMS and PUCM,Beijing 100730,China.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2021 Jun 30;43(3):402-405. doi: 10.3881/j.issn.1000-503X.13622.
Objective To investigate the incidence of surgical site infection(SSI)following conversion from laparoscopic to open cholecystectomy and to analyze the related risk factors. Methods The clinical data of 179 patients who had experienced conversion from laparoscopic to open cholecystectomy in Peking Union Medical College Hospital from January 2014 to August 2019 were analyzed retrospectively.Univariate and multivariate logistic regression analyses were performed to evaluate the associations between clinical variables and SSI. Results The incidence of SSI was 19.0%(34/179)after conversion from laparoscopic to open cholecystectomy.The multivariable analysis demonstrated that preoperative endoscopic retrograde cholangiopancreatography(ERCP)(=4.208,95% :1.590-11.135,=0.004)was the only independent risk factor of SSI. Conclusions The incidence of SSI after conversion from laparoscopic to open cholecystectomy increased remarkably,especially in those who had preoperative ERCP.Preventive interventions should be taken to reduce the incidence of SSI.
目的 探讨腹腔镜胆囊切除术中转开腹术后手术部位感染（SSI）的发生率，并分析相关危险因素。方法 回顾性分析2014年1月至2019年8月在北京协和医院接受腹腔镜胆囊切除术中转开腹的179例患者的临床资料。采用单因素和多因素logistic回归分析评估临床变量与SSI之间的关联。结果 腹腔镜胆囊切除术中转开腹术后SSI发生率为19.0%（34/179）。多变量分析表明，术前内镜逆行胰胆管造影（ERCP）（β=4.208，95%CI：1.590-11.135，P=0.004）是SSI的唯一独立危险因素。结论 腹腔镜胆囊切除术中转开腹术后SSI发生率显著增加，尤其是术前接受ERCP的患者。应采取预防性干预措施以降低SSI的发生率。
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