ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021
Effects of preoperative dental examination and oral hygiene instruction on surgical site infection after hepatectomy: a retrospective study.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Preoperative oral practices and incidence of postoperative complications in hospital medical-surgical procedures: A meta-analysis.Medicina oral, patologia oral y cirugia bucal · 2023Pooled it
- Effects of sodium bicarbonate solution on tongue coating and oral hygiene in patients with heart failure: a randomized controlled trial.BMC oral health · 2025Trial
- Nutritional risk index in hepatitis B virus-related liver cancer: Infection prediction and prognosis.World journal of gastrointestinal oncology · 2025Article
- Poor oral health is associated with social vulnerability in critically ill trauma patients.Trauma surgery & acute care open · 2025Article
- Dental and oral management in the perioperative period of surgery: A scoping review.The Japanese dental science review · 2024Article
- Influence of dental status on postoperative complications in major visceral surgical and organ transplantation procedures-the bellydent retrospective observational study.Langenbeck's archives of surgery · 2024Observational
- Number of Bacteria in Saliva in the Perioperative Period and Factors Associated with Increased Numbers.International journal of environmental research and public health · 2022Article
- The preventive effects of perioperative oral care on surgical site infections after pancreatic cancer surgery: a retrospective study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study retrospectively investigated relationships among risk factors and post-hepatectomy surgical site infection (SSI) and other complications in patients who underwent hepatectomy for hepatocellular carcinoma (HCC).
methodsWe included 334 patients who underwent hepatectomies for liver cancers between January 2011 and December 2015 in this study. We evaluated risk factors for SSI and other post-hepatectomy complication, including demographic factors, preoperative factors, and preoperative intervention including oral management, perioperative factors, and length of hospital stay, with univariate and multivariate analyses. The oral management intervention included self-care instructions, extraction of infected teeth, removal of dental plaques and calculus (scaling), professional mechanical teeth cleaning, removal of tongue coating, and cleaning of dentures. SSI was defined in accordance with the guideline issued by the Centers for Disease Control and Prevention; it included purulent discharge from any incision or organ space within 30 days postoperatively, with or without microbiological evidence. Complications of grade II or greater, according to the Clavien-Dindo classification, were regarded as postoperative complications.
resultsWe found bacterial infection of ascites (Odds ratio (OR) = 13.72), lack of preoperative oral management intervention (OR = 10.17), and severe liver fibrosis (OR = 2.76) to be associated with SSI and severe liver fibrosis (OR = 2.28), hypoalbuminemia (OR = 2.02), blood transfusion (OR = 1.86), and longer operation time (OR = 1.80) to be associated with postoperative complications.
conclusionsPreoperative oral management may reduce the risk of SSI in patients with HCC who undergo hepatectomy.
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