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Risk Factors for Transumbilical Wound Complications in Laparoscopic Gastric and Colorectal Surgery
Kodai Tomioka1, Masahiko Murakami2, Akira Fujimori2
1Department of Surgery, Division of Gastroenterological and General Surgery, Showa University, Tokyo, Japan tomioka@med.showa-u.ac.jp.
Aim:
To investigate the risk factors of transumbilical incision for organ removal in laparoscopic surgery.
Patients And Methods:
We enrolled 643 consecutive patients undergoing laparoscopic surgery from 2010 to 2013. Superficial surgical site infection (SSI) and transumbilical port site hernia were recorded.
Results:
The participants underwent gastric (n=253) and colorectal (n=390) resections. SSI was observed in 17 cases (colorectal in 15; gastric in two) (2.64%) with colorectal resection having a high rate of SSI [odds ratio (OR)=5.020; p=0.022]. Hernia occurred in 23 cases (colorectal in 22; gastric in one) (3.53%), with a significantly higher rate for colorectal resection (OR=13.052; p<0.001). Female (OR=5.410; p=0.021) and history of diabetes mellitus (OR=4.437; p=0.009) contributed to the risk for developing a hernia.
Conclusion:
Especially in relation to hernia, being female and having diabetes mellitus were considered independent risk factors.
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