ArticleWorld journal of surgery2015
Risk factors for incisional and organ space surgical site infections after liver resection are different.
Article in World journal of surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- The E-AHPBA-ESSO-Innsbruck consensus recommendations on peri- and postoperative management following liver resection.The British journal of surgery · 2025Guideline
- Systematic review and meta-analysis of outcomes associated with incisional and organ/space surgical site infections in abdominal surgery patients.Antimicrobial resistance and infection control · 2025Pooled it
- Surgical site wound infection and pain after laparoscopic repeat hepatectomy for recurrent hepatocellular carcinoma.International wound journal · 2023Pooled it
- Trial
- Association between preoperative hypoalbuminemia and surgical site infection in abdominal surgery: a systematic review and meta-analysis.Patient safety in surgery · 2026Review
- Surgical Site Infection After Abdominal Surgery: Distribution and Determinants From a Cross-Sectional Study.Cureus · 2025Article
- Safety of laparoscopic compared to open right hepatectomy after portal vein occlusion: results from a multicenter study.Surgical endoscopy · 2025Article
- Is prolonged operative time associated with postoperative complications in liver surgery? An international multicentre cohort study of 5424 patients.Surgical endoscopy · 2024Article
- Pre- and postoperative C-reactive protein as a risk factor of organ/space surgical site infection after hepatectomy.Langenbeck's archives of surgery · 2023Article
- Advantages of skin closure with subcuticular suture for liver resection on postoperative and cosmetic outcomes: a propensity matched analysis.Langenbeck's archives of surgery · 2022Article
- Laparoscopic resection reduces superficial surgical site infection in liver surgery.Surgical endoscopy · 2021Article
- Risk Factors for 30-Day Unplanned Readmission After Hepatectomy: Analysis of 438 Pediatric Patients from the ACS-NSQIP-P Database.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Impact of Advancing Age on the Status and Risk of Postoperative Infections After Liver Resection.World journal of surgery · 2021Article
- A nomogram for predicting postoperative pulmonary infection in esophageal cancer patients.BMC pulmonary medicine · 2021Article
- Hypoalbuminemia as Surrogate and Culprit of Infections.International journal of molecular sciences · 2021Review
- Perioperative Outcomes Following Combined Versus Isolated Colorectal and Liver Resections:Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2021Article
- Effects of preoperative dental examination and oral hygiene instruction on surgical site infection after hepatectomy: a retrospective study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- The Prevalence and Clinical Significance of Anaerobic Bacteria in Major Liver Resection.Antibiotics (Basel, Switzerland) · 2021Article
- Article
- Improving the treatment of pre-operative anemia in hepato-pancreato-biliary patients: a quality improvement initiative.Patient safety in surgery · 2020Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurgical site infection (SSI) is a common cause of major morbidity after liver resection. This study aimed to identify the risk factors for incisional and organ/space SSIs after liver resection.
methodsOur liver surgery database was retrospectively analyzed for patients treated between January 2009 and November 2012 in a tertiary care Swiss hospital. Univariate and multivariate analyses were conducted on preoperative, intraoperative, and postoperative variables to identify risk factors for incisional and organ/space SSIs.
resultsIn a total of 226 patients, SSI incidences were 12.8 % (incisional), 4.0 % (organ/space), and 1.8 % (both). Univariate analysis showed that incisional SSIs were associated with high American Society of Anesthesiologists (ASA) scores, preoperative anemia, hypoalbuminemia, low prothrombin time, viral or alcoholic chronic hepatitis, liver cirrhosis, and prolonged operation times. Organ/space SSIs were associated with high rates of red blood cell transfusions, concomitant bowel surgery, and prolonged operation times. Multivariate analysis revealed that risk factors for incisional SSIs were anemia [odds ratio (OR) 2.82], high ASA scores (OR 2.88), presence of hepatitis or cirrhosis (OR 5.07), and prolonged operation times (OR 9.61). The only risk factor for organ/space SSIs was concomitant bowel surgery (OR 5.53). Hospital stays were similar in organ/space and incisional SSI groups, but significantly longer for those with both organ/space and incisional SSIs.
conclusionsHigh ASA scores, anemia, chronic hepatitis or liver cirrhosis, and prolonged operations increased the risk of incisional SSIs; concomitant bowel surgery increased the risk of organ/space SSI. Specific precautions to prevent organ/space and incisional SSIs may shorten hospital stays.
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