Differences in risk factors for surgical site infection between laparotomy and laparoscopy in gastrointestinal surgery.
Extensive gastrointestinal surgery surveillance data in Japan were analyzed to examine the differences in the risk factors for surgical site infection (SSI) between laparotomy and laparoscopic abdominal procedures. Surgical procedures investigated in the study were gastrectomy, cholecystectomy, cole...
| Main Authors: | , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2022-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0274887 |
| _version_ | 1811229231727771648 |
|---|---|
| author | Momoe Utsumi Terumasa Yamada Kazuo Yamabe Yoshiteru Katsura Nariaki Fukuchi Hiroki Fukunaga Masahiro Tanemura Junzo Shimizu Yoshinori Kagawa Shogo Kobayashi Hidekazu Takahashi Koji Tanaka Tsunekazu Mizushima Hidetoshi Eguchi Nana Nakayama Kiyoko Makimoto Yuichiro Doki |
| author_facet | Momoe Utsumi Terumasa Yamada Kazuo Yamabe Yoshiteru Katsura Nariaki Fukuchi Hiroki Fukunaga Masahiro Tanemura Junzo Shimizu Yoshinori Kagawa Shogo Kobayashi Hidekazu Takahashi Koji Tanaka Tsunekazu Mizushima Hidetoshi Eguchi Nana Nakayama Kiyoko Makimoto Yuichiro Doki |
| author_sort | Momoe Utsumi |
| collection | DOAJ |
| description | Extensive gastrointestinal surgery surveillance data in Japan were analyzed to examine the differences in the risk factors for surgical site infection (SSI) between laparotomy and laparoscopic abdominal procedures. Surgical procedures investigated in the study were gastrectomy, cholecystectomy, colectomy, rectal resection, and appendectomy. A total of 32,629 patients were included in the study. The study participants were divided into two groups according to the year of surgery, 2003-2009 (first study period) and 2010-2015 (second study period), due to the increase in the number of laparoscopic surgeries in the second study period. The incidence of SSI was stratified by three SSI classifications (superficial incisional, deep incisional, and organ/space SSI). Multiple logistic regression analysis was performed to predict the risk factors for SSI. The percentage of laparoscopic surgeries performed has increased linearly since 2010. Patients in the second study period were significantly older and had a higher prevalence of SSI risk factors compared with those in the first study period. In addition, the predictive factors changed substantially in most surgical procedures between the two study periods. Wound class ≥ 3 was a ubiquitous risk factor for superficial incisional SSI (SI-SSI) and organ/space SSI (OS-SSI) in both open (laparotomy) and laparoscopic procedures in the first study period. Meanwhile, in the second study period, operative duration was a ubiquitous risk factor in both procedures. The risk factors for SI-SSI differed from those for OS-SSI in the five abdominal surgeries investigated in the study. Periodic examination of risk factors for SSI is recommended in an aging society. |
| first_indexed | 2024-04-12T10:11:04Z |
| format | Article |
| id | doaj.art-62ca457d7ba947148d96d15522061a43 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-12T10:11:04Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-62ca457d7ba947148d96d15522061a432022-12-22T03:37:18ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01179e027488710.1371/journal.pone.0274887Differences in risk factors for surgical site infection between laparotomy and laparoscopy in gastrointestinal surgery.Momoe UtsumiTerumasa YamadaKazuo YamabeYoshiteru KatsuraNariaki FukuchiHiroki FukunagaMasahiro TanemuraJunzo ShimizuYoshinori KagawaShogo KobayashiHidekazu TakahashiKoji TanakaTsunekazu MizushimaHidetoshi EguchiNana NakayamaKiyoko MakimotoYuichiro DokiExtensive gastrointestinal surgery surveillance data in Japan were analyzed to examine the differences in the risk factors for surgical site infection (SSI) between laparotomy and laparoscopic abdominal procedures. Surgical procedures investigated in the study were gastrectomy, cholecystectomy, colectomy, rectal resection, and appendectomy. A total of 32,629 patients were included in the study. The study participants were divided into two groups according to the year of surgery, 2003-2009 (first study period) and 2010-2015 (second study period), due to the increase in the number of laparoscopic surgeries in the second study period. The incidence of SSI was stratified by three SSI classifications (superficial incisional, deep incisional, and organ/space SSI). Multiple logistic regression analysis was performed to predict the risk factors for SSI. The percentage of laparoscopic surgeries performed has increased linearly since 2010. Patients in the second study period were significantly older and had a higher prevalence of SSI risk factors compared with those in the first study period. In addition, the predictive factors changed substantially in most surgical procedures between the two study periods. Wound class ≥ 3 was a ubiquitous risk factor for superficial incisional SSI (SI-SSI) and organ/space SSI (OS-SSI) in both open (laparotomy) and laparoscopic procedures in the first study period. Meanwhile, in the second study period, operative duration was a ubiquitous risk factor in both procedures. The risk factors for SI-SSI differed from those for OS-SSI in the five abdominal surgeries investigated in the study. Periodic examination of risk factors for SSI is recommended in an aging society.https://doi.org/10.1371/journal.pone.0274887 |
| spellingShingle | Momoe Utsumi Terumasa Yamada Kazuo Yamabe Yoshiteru Katsura Nariaki Fukuchi Hiroki Fukunaga Masahiro Tanemura Junzo Shimizu Yoshinori Kagawa Shogo Kobayashi Hidekazu Takahashi Koji Tanaka Tsunekazu Mizushima Hidetoshi Eguchi Nana Nakayama Kiyoko Makimoto Yuichiro Doki Differences in risk factors for surgical site infection between laparotomy and laparoscopy in gastrointestinal surgery. PLoS ONE |
| title | Differences in risk factors for surgical site infection between laparotomy and laparoscopy in gastrointestinal surgery. |
| title_full | Differences in risk factors for surgical site infection between laparotomy and laparoscopy in gastrointestinal surgery. |
| title_fullStr | Differences in risk factors for surgical site infection between laparotomy and laparoscopy in gastrointestinal surgery. |
| title_full_unstemmed | Differences in risk factors for surgical site infection between laparotomy and laparoscopy in gastrointestinal surgery. |
| title_short | Differences in risk factors for surgical site infection between laparotomy and laparoscopy in gastrointestinal surgery. |
| title_sort | differences in risk factors for surgical site infection between laparotomy and laparoscopy in gastrointestinal surgery |
| url | https://doi.org/10.1371/journal.pone.0274887 |
| work_keys_str_mv | AT momoeutsumi differencesinriskfactorsforsurgicalsiteinfectionbetweenlaparotomyandlaparoscopyingastrointestinalsurgery AT terumasayamada differencesinriskfactorsforsurgicalsiteinfectionbetweenlaparotomyandlaparoscopyingastrointestinalsurgery AT kazuoyamabe differencesinriskfactorsforsurgicalsiteinfectionbetweenlaparotomyandlaparoscopyingastrointestinalsurgery AT yoshiterukatsura differencesinriskfactorsforsurgicalsiteinfectionbetweenlaparotomyandlaparoscopyingastrointestinalsurgery AT nariakifukuchi differencesinriskfactorsforsurgicalsiteinfectionbetweenlaparotomyandlaparoscopyingastrointestinalsurgery AT hirokifukunaga differencesinriskfactorsforsurgicalsiteinfectionbetweenlaparotomyandlaparoscopyingastrointestinalsurgery AT masahirotanemura differencesinriskfactorsforsurgicalsiteinfectionbetweenlaparotomyandlaparoscopyingastrointestinalsurgery AT junzoshimizu differencesinriskfactorsforsurgicalsiteinfectionbetweenlaparotomyandlaparoscopyingastrointestinalsurgery AT yoshinorikagawa differencesinriskfactorsforsurgicalsiteinfectionbetweenlaparotomyandlaparoscopyingastrointestinalsurgery AT shogokobayashi differencesinriskfactorsforsurgicalsiteinfectionbetweenlaparotomyandlaparoscopyingastrointestinalsurgery AT hidekazutakahashi differencesinriskfactorsforsurgicalsiteinfectionbetweenlaparotomyandlaparoscopyingastrointestinalsurgery AT kojitanaka differencesinriskfactorsforsurgicalsiteinfectionbetweenlaparotomyandlaparoscopyingastrointestinalsurgery AT tsunekazumizushima differencesinriskfactorsforsurgicalsiteinfectionbetweenlaparotomyandlaparoscopyingastrointestinalsurgery AT hidetoshieguchi differencesinriskfactorsforsurgicalsiteinfectionbetweenlaparotomyandlaparoscopyingastrointestinalsurgery AT nananakayama differencesinriskfactorsforsurgicalsiteinfectionbetweenlaparotomyandlaparoscopyingastrointestinalsurgery AT kiyokomakimoto differencesinriskfactorsforsurgicalsiteinfectionbetweenlaparotomyandlaparoscopyingastrointestinalsurgery AT yuichirodoki differencesinriskfactorsforsurgicalsiteinfectionbetweenlaparotomyandlaparoscopyingastrointestinalsurgery |