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KMID : 1147420210060020042
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Journal of Surgical Infection
2021 Volume.6 No. 2 p.42 ~ p.46
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Analysis of Risk Factors of Surgical Site Infection for Colorectal Cancer Surgery
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Hong In-Jae
Lee Yoon-Suk
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Abstract
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Objectives: Surgical site infection (SSI) is one of the most common complications of colorectal cancer surgery. The prognosis of patients varies according to the depth of SSI. The purpose of this study was to investigate risk factors of SSI for colorectal cancer surgery.
Methods: Medical records of patients who underwent primary colorectal cancer surgery from September 2015 to February 2017 were reviewed retrospectively. Authors divided the group into SSI and Non-SSI, and compared the characteristics including tumor locations, operation methods, operative time and risk index. In SSI group, subgroup analysis was performed depending on depth of infection.
Results: A totla of 32 cases of SSI from 309 cases were analyzed. SSI occurred more frequently in male. Risk index was higher and operative time and hospital days were longer in SSI group. SSI occurred more frequently in rectal cancer than colon cancer. Rate of SSI was significantly high in open surgery compared to laparoscopic surgery. In subgroup analysis, organ/space SSI was more likely to occur in rectal cancer, but it was not significant. In multivariate analysis, male, rectal cancer, prolonged operation time showed statistical significance.
Conclusion: Male, rectal cancer and long operation time were independent risk factors for SSI in colorectal cancer surgery.
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KEYWORD
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Surgical site infection, Colorectal cancer
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