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The association between the increased performance of laparoscopic colon surgery and a reduced risk of surgical site infection
- Source :
- Surgery Today
- Publication Year :
- 2019
- Publisher :
- Springer Singapore, 2019.
-
Abstract
- Purpose Surgical site infection (SSI) is the most frequently occurring nosocomial infection. Remarkable surgical progress has recently been made in laparoscopic surgery. Therefore, our objective was to investigate the association between increased rates of laparoscopic colon surgery and SSI. Methods We retrospectively investigated SSI surveillance data from July 2003 to December 2015. Two university hospitals and 25 university-affiliated hospitals participated in prospective SSI surveillance. Univariate and multivariate analyses were performed to detect significant associations. Results We investigated 9655 colon surgeries. The year in which surgery was performed was significantly associated with the SSI rate (p = 0.0381). The rate of laparoscopic surgery gradually increased during the study period, and by 2012 it was routinely used for > 50% of colon surgeries. Laparoscopic surgery became a significant factor associated with reduced SSI rates compared with conventional open surgery once the performance rate of laparoscopic surgery reached > 50%. Conclusions Increasing rates of laparoscopic colon surgery tended to be associated with a reduction in the SSI risk after surgical treatment of colonic disease. The results of this study might encourage surgeons to view laparoscopic surgical techniques as an evidence-based approach for reducing the risk of SSI. Electronic supplementary material The online version of this article (10.1007/s00595-019-1760-1) contains supplementary material, which is available to authorized users.
- Subjects :
- Laparoscopic surgery
Adult
Male
Risk
medicine.medical_specialty
Reduced risk
Multivariate analysis
Adolescent
Colon
medicine.medical_treatment
Endoscopy, Gastrointestinal
03 medical and health sciences
Colonic Diseases
Young Adult
0302 clinical medicine
Colon surgery
Colorectal surgery
Medicine
Humans
Surgical Wound Infection
Colonic disease
Aged
Retrospective Studies
Aged, 80 and over
Analysis of Variance
Cross Infection
business.industry
Open surgery
General Medicine
Middle Aged
University hospital
Surgery
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
Original Article
Female
Laparoscopy
business
Surgical site infection
Subjects
Details
- Language :
- English
- ISSN :
- 14362813 and 09411291
- Volume :
- 49
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Surgery Today
- Accession number :
- edsair.doi.dedup.....f358040d764f4cb6ec514ff03cb22dc7