Risk Factors for Transumbilical Wound Complications in Laparoscopic Gastric and Colorectal Surgery

摘要

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.