Universidade Federal de Pernambuco, Hospital Universitário, Department of Surgery - Recife (PE), Brazil.
Institute Mutualiste Montsouris, Metabolic and Oncological Surgery, Department of Digestive - Paris, France.
Arq Bras Cir Dig. 2024 Aug 19;37:e1817. doi: 10.1590/0102-6720202400024e1817. eCollection 2024.
Postoperative infectious complications are extremely important to surgeons and the entire medical care team. Among these complications, surgical site infection (SSI) appears to be one of the earliest and most prevalent events and is considered an inherent complication of surgical procedures. In oncological patients submitted to resections of digestive system tumors, there is a confluence of several risk factors for SSI, making it necessary to establish measures to maximize the control of this condition to provide a better prognosis for these patients. Some risk factors for SSI are the manipulation of structures hosting the highest density of pathogenic microorganisms, such as the colon, the patient's performance status, the patient's nutritional status, the use of chemotherapy and/or radiotherapy, and the surgical procedure itself, which tends to last longer and be more complex than surgeries for benign conditions of the digestive system. Therefore, this review sought to provide a qualitative analysis and a summary of the literature regarding the SSI of postoperative tumor patients who underwent surgical resection and were well-structured postoperatively, to provide objective data on this problem, and alert about the well-structured needs of individualized pre-, peri-, and post-protocols to avoid the development of these events.
术后感染并发症对外科医生和整个医疗团队至关重要。在这些并发症中，手术部位感染（SSI）似乎是最早和最常见的事件之一，被认为是手术的固有并发症。在接受消化系统肿瘤切除术的肿瘤患者中，存在多种 SSI 的危险因素，因此有必要制定措施来最大限度地控制这种情况，为这些患者提供更好的预后。SSI 的一些危险因素是对宿主致病性微生物密度最高的结构的操作，如结肠、患者的一般状况、患者的营养状况、化疗和/或放疗的使用，以及手术本身，其持续时间往往比消化系统良性疾病的手术更长、更复杂。因此，本综述旨在对术后肿瘤患者的 SSI 进行定性分析和文献综述，这些患者术后得到了很好的结构化治疗，旨在提供关于这一问题的客观数据，并提醒需要制定个体化的术前、术中和术后方案来避免这些事件的发生。
