Incidence of surgical site infection in minimally invasive colorectal surgery

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Lu-Ting Ni1, Ru Zhao1, Yi-Ru Ye1

  • 1Department of Surgery, The First Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu Province, China.

World Journal of Gastrointestinal Surgery
|May 1, 2024
PubMed
Abstract

Insights

Robot-assisted colorectal surgery (RACS) and laparoscopic-assisted colorectal surgery (LACS) show similar surgical site infection (SSI) rates. Key risk factors for SSI include diabetes, significant blood loss, and longer incisions.

Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Surgery
  • Surgical Site Infections

Background:

  • Surgical site infection (SSI) is a frequent complication following colorectal surgery.
  • Minimally invasive surgical techniques significantly decrease SSI incidence.
  • Robot-assisted colorectal surgery (RACS) and laparoscopic-assisted colorectal surgery (LACS) are common minimally invasive approaches.

Purpose of the Study:

  • To compare SSI incidence between RACS and LACS.
  • To identify independent risk factors for SSI in minimally invasive colorectal surgery.

Main Methods:

  • Retrospective analysis of 246 patients undergoing RACS or LACS between October 2020 and October 2022.
  • Comparison of clinical characteristics and surgical data between RACS and LACS groups.
  • Identification of risk factors associated with SSI development.

Main Results:

  • Overall SSI rate was 17.5% (43/246 patients).
  • No significant difference in SSI incidence was observed between RACS (17.2%) and LACS (17.9%) groups (P = 0.887).
  • Independent risk factors for SSI included diabetes mellitus, intraoperative blood loss ≥ 100 mL, and incision length. Neoadjuvant therapy, lesion site, and operation time were potential additional factors.

Conclusions:

  • RACS and LACS demonstrate comparable SSI rates in colorectal surgery.
  • Diabetes mellitus, substantial intraoperative blood loss, and longer incision length are significant independent risk factors for postoperative SSI.
Keywords:
Colorectal surgeryMinimally invasive surgerySurgical site infection

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