ArticleWorld journal of surgery2008
Risk factors for wound infection after surgery for colorectal cancer.
Article in World journal of surgery, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 6 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 6 syntheses or guidelines pooled it, 73 citations in OpenAlex.
- A meta-analysis of the effect of different body mass index on surgical wound infection after colorectal surgery.International wound journal · 2023Pooled it
- Effect of body mass index on surgical site wound infection, mortality, and postoperative hospital stay in subjects undergoing possibly curative surgery for colorectal cancer: A meta-analysis.International wound journal · 2023Pooled it
- The influence of diabetes on postoperative complications following colorectal surgery.Techniques in coloproctology · 2021Pooled it
- Risk factors for surgical site infection in patients undergoing colorectal surgery: A meta-analysis of observational studies.PloS one · 2021Pooled it
- Wound protectors in reducing surgical site infections in lower gastrointestinal surgery: an updated meta-analysis.Surgical endoscopy · 2018Pooled it
- Robotic versus laparoscopic right colectomy: a meta-analysis.World journal of surgical oncology · 2014Pooled it
- Right colon, left colon, and rectal surgeries are not similar for surgical site infection development. Analysis of 277 elective and urgent colorectal resections.International journal of colorectal disease · 2011Trial
- Preoperative incremental shuttle walk test for morbidity and mortality prediction in elective major colorectal surgery.Indian journal of anaesthesia · 2022Article
- Mechanical bowel preparation combined with oral antibiotics in colorectal cancer surgery: a nationwide population-based study.International journal of colorectal disease · 2021Article
- Risk Factors for Wound Infection After Laparoscopic Surgery for Colon Cancer.Surgical laparoscopy, endoscopy & percutaneous techniques · 2020Article
- Short-term outcomes after transanal and laparoscopic total mesorectal excision for rectal cancer.Techniques in coloproctology · 2016Article
- Totally robotic vs 3D laparoscopic colectomy: A single centers preliminary experience.World journal of gastroenterology · 2015Observational
- Efficacy of skin closure with subcuticular sutures for preventing wound infection after resection of colorectal cancer: a propensity score-matched analysis.Langenbeck's archives of surgery · 2015Article
- Surgical site infection in critically ill patients with secondary and tertiary peritonitis: epidemiology, microbiology and influence in outcomes.BMC infectious diseases · 2015Observational
- Diagnostic accuracy of C-reactive protein and procalcitonin in the early detection of infection after elective colorectal surgery - a pilot study.BMC infectious diseases · 2014Observational
- Does obesity increase early postoperative complications after laparoscopic colorectal surgery? Results from a single center.Surgical endoscopy · 2014Article
- Incisional surgical site infection after elective open surgery for colorectal cancer.International journal of surgical oncology · 2014Observational
- Robotic right colectomy for cancer with intracorporeal anastomosis: short-term outcomes from a single institution.International journal of colorectal disease · 2013Observational
- Is laparoscopic surgery for recurrent Crohn's disease beneficial in patients with previous primary resection through midline laparotomy? A case-matched study.Surgical endoscopy · 2012Article
- Diagnostic accuracy of C-reactive protein and white blood cell counts in the early detection of inflammatory complications after open resection of colorectal cancer: a retrospective study of 1,187 patients.International journal of colorectal disease · 2011Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAmong complications after surgery for colorectal cancer, wound infections may prolong hospitalization and increase healthcare costs. This study was designed to clarify the incidence, risk factors, and pathogens responsible for wound infections after surgery for colorectal cancer.
methodsThe study group comprised 144 patients (94 men and 50 women) with colorectal cancer in whom the same surgeon at Kitasato University Hospital performed resection from January 2004 through December 2005. Their mean age was 67.1 years (range = 38-90). To identify risk factors for surgical wound infections, we examined the following 11 variables: gender, age (>65 vs. <or=65 years), body-mass index (>25 vs. <or=25 kg/m(2)), the presence or absence of diabetes mellitus, physical status according to the American Society of Anesthesiologists classification (ASA score), stage of cancer according to the TNM staging system, surgical procedure (laparoscopic colectomy vs. open colectomy), procedure type (right colectomy vs. left colectomy vs. anterior resection), operation time (>180 vs. <or=180 min), intraoperative bleeding volume (>120 vs. <or=120 ml), and the presence or absence of intraoperative transfusion. Tissue specimens of infected wounds were cultured to identify pathogens.
resultsPostoperative wound infections occurred in 12% (17/144) of the patients. In univariate analyses, the incidence of wound infection was 26% (11/43) in patients who underwent open colectomy compared with 6% (6/101) in those who underwent laparoscopic colectomy. This difference was significant (P = 0.001). In multivariate analyses, only surgical procedure was identified as an independent risk factor for wound infection. The odds ratio for open colectomy compared with laparoscopic colectomy was 3.322 (P = 0.021). Pus from infected wounds was cultured in 7 of the 17 patients and cultures were positive for pathogens in 5 patients: 1 laparoscopic colectomy and 4 open colectomy. Bacteroides species were the most common pathogen.
conclusionTo prevent wound infections after surgery for colorectal cancer, laparoscopic surgery should be performed when indicated.
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