Analysis of risk factors for surgical site infection after synchronous resection for colorectal cancer liver metastasis
10.3969/j.issn.1673-9701.2025.04.013
- VernacularTitle:结直肠癌肝转移同期手术后肝脏术区感染的危险因素分析
- Author:
Jiale YANG
1
;
Yijie YANG
1
;
Lu XU
1
Author Information
1. 苏州大学附属第一医院胃肠外科,江苏苏州 215006
- Publication Type:Journal Article
- Keywords:
Colorectal cancer liver metastasis;
Synchronous surgery;
Surgical site infection;
Surgical sequence
- From:
China Modern Doctor
2025;63(4):53-56,60
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the risk factors for surgical site infection(SSI)after synchronous resection for colorectal cancer liver metastasis.Methods The clinical data of 64 patients who underwent synchronous resection for colorectal cancer liver metastasis in the Department of Gastrointestinal Surgery of the First Affiliated Hospital of Soochow University from July 2020 to June 2024 were retrospectively analyzed.Patients were divided into infected group(n=11)and non-infected group(n=53)according to whether postoperative hepatic SSI occurred.Clinical data were collected and multivariate Logistic regression models were used to analyze independent risk factors for SSI.Results There were significant differences in the proportion of patients receiving neoadjuvant therapy(P=0.017),surgical sequence(P=0.027),liver resection method(P=0.025),operation time(P=0.002)and extent of liver resection(P=0.029)between two groups.Multivariate Logistic regression analysis showed that surgical sequence was an independent risk factor for SSI(P=0.044).Conclusion Surgical sequence was an independent risk factor for postoperative SSI after synchronous resection for colorectal cancer liver metastasis,and the risk of postoperative SSI was higher in patients with priority bowel resection.Reasonable selection of surgical sequence and optimization of surgical procedures can help to reduce the incidence of postoperative infection and improve the short-term prognosis of patients.
