ISSN: 1859 - 2872
Evaluation of Surgical Site Infection Rate Following Hepatectomy at the 108 Military Central Hospital
Main Article Content
Tóm tắt
Objective: To evaluate the incidence of surgical site infection (SSI) following hepatectomy at the 108 Military Central Hospital and identify associated risk factors. Subject and method: A retrospective study was conducted on 372 patients who underwent hepatectomy in 2024. Patients were classified into laparoscopic and open surgery groups. Data collected included clinical characteristics, surgical type, blood transfusion, drain placement, length of hospital stay, and postoperative complications. Statistical analyses, including logistic regression, were performed to identify independent risk factors for SSI. Result: The overall SSI rate was 3.5%. The laparoscopic group had a significantly lower SSI rate compared to the open group (1.9% vs. 5.7%; p<0.05). Multivariate logistic regression revealed that open surgery (OR = 2.9; p=0.021), postoperative blood transfusion (OR = 4.5; p=0.008), and drain placement (OR = 2.6; p=0.037) were independent risk factors for SSI. Conclusion: Laparoscopic hepatectomy was associated with a lower risk of SSI, reduced transfusion rates, and shorter postoperative hospitalization. Broader application of this technique should be considered. Further prospective multicenter studies are needed to validate these findings.
Article Details
Các tài liệu tham khảo
2. Wakabayashi G, Cherqui D, Geller DA, Buell JF, Kaneko H, Han HS et al (2015) Recommendations for laparoscopic liver resection: A report from the second international consensus conference. Ann Surg 261(4): 619-629.
3. Tzeng CW, Katz MH, Fleming JB, Aloia TA, Vauthey JN (2015) Laparoscopic liver resection for hepatocellular carcinoma: effect on surgical site infections. J Gastrointest Surg 19(6): 1141-1148.
4. Takahashi Y, Takesue Y, Fujiwara M, Tatsumi S, Ichiki K, Fujimoto J, Kimura T (2018) Risk factors for surgical site infection after major hepatobiliary and pancreatic surgery. J Infect Chemother 24(9): 739-743. doi:10.1016/j.jiac.2018.05.007.
5. Centers for Disease Control and Prevention (CDC). National Healthcare Safety Network (NHSN) Patient Safety Component Manual. Atlanta (GA): CDC; 2021.
6. Montalti R, Berardi G, Laurent S, Sebastiani S, Del Gaudio M, Vivarelli M (2020) Laparoscopic vs open approach in liver surgery: A meta-analysis of short-term outcomes. Updates Surg 72(3): 637-649.
7. Lee W, You T, Choi DW, Heo JS, Han HS, Yoon YS, et al (2019) Surgical site infection after laparoscopic and open liver resection: results from a Korean multicenter study. Ann Surg Treat Res 96(5): 247-253.
8. Ciria R, Cherqui D, Geller DA, Briceno J, Wakabayashi G (2016) Comparative short-term benefits of laparoscopic liver resection: 9000 cases and climbing. Ann Surg 263(4): 761-777.
9. Sugimoto M, Gotohda N, Kudo M, Kobayashi S, Takahashi S, Konishi M (2022) Laparoscopic liver resection can be performed safely without intraoperative drain placement. Surg Endosc 36(12): 9019-9031. doi:10.1007/s00464-022-09364-x.
10. Beretvas RI, Aranha GV, Trivedi A, Leveillee RJ, Pickleman J (2017) Blood transfusion and postoperative infection in liver resection. Am J Surg 214(4): 695-700.
11. Lim C, Salloum C, Hamed O, Lahat E, Azoulay D (2017) Complications after liver resection for hepatocellular carcinoma in cirrhotic patients. J Surg Oncol 118(6): 936-944.
12. Belghiti J, Hiramatsu K, Benoist S, Massault PP, Sauvanet A, Farges O (2000) Seven hundred forty-seven hepatectomies in the 1990s: An update to improve patient selection and results. Arch Surg. 135(9):1104-1109. doi:10.1001/archsurg.135.9.1104.
Article Sidebar
