Bowel preparation and surgical site infections in laparoscopic and robot‐assisted right‐sided colon cancer surgery with intracorporeal anastomosis: A retrospective study
Abstract Aim Previous studies have examined bowel preparation as a measure to reduce surgical site infection (SSI) rates. This retrospective study aimed to identify the risk factors for SSI in right‐sided colon cancer surgery using intracorporeal anastomosis (IA). We focused on perioperative factors...
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| Format: | Article |
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Wiley
2025-07-01
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| Series: | Annals of Gastroenterological Surgery |
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| Online Access: | https://doi.org/10.1002/ags3.12896 |
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| author | Naoya Ozawa Tomohiro Yamaguchi Takumi Kozu Tatsuki Noguchi Takashi Sakamoto Shimpei Matsui Toshiki Mukai Takashi Akiyoshi Yosuke Fukunaga |
| author_facet | Naoya Ozawa Tomohiro Yamaguchi Takumi Kozu Tatsuki Noguchi Takashi Sakamoto Shimpei Matsui Toshiki Mukai Takashi Akiyoshi Yosuke Fukunaga |
| author_sort | Naoya Ozawa |
| collection | DOAJ |
| description | Abstract Aim Previous studies have examined bowel preparation as a measure to reduce surgical site infection (SSI) rates. This retrospective study aimed to identify the risk factors for SSI in right‐sided colon cancer surgery using intracorporeal anastomosis (IA). We focused on perioperative factors, including the bowel preparation method, to clarify the impact of preoperative mechanical bowel preparation (MBP) and oral antibiotics (OA) on SSI incidence. Methods Patients (n = 150) with right‐sided colon cancer who underwent elective laparoscopic or robot‐assisted colectomy (2019 and 2023) were included. Potential risk factors for SSI were examined using univariate and multivariate analyses. Results The overall incidence of SSI was 11 (7.3%) cases, with eight (5.4%) cases classified as incision site SSI and three (1.9%) as organ/space SSI. Univariate analysis showed that OA (p < 0.001) and MBP (p = 0.002) significantly reduced the SSI rate. Multivariate analysis identified OA as an independent risk factor (hazard ratio, 0.142; 95% confidence interval, 0.025–0.827; p = 0.025). Patients with SSI had longer postoperative hospital stays compared to those without SSI (median 9 vs. 8 days, p = 0.012). On postoperative day 1, the group receiving OA had significantly lower white blood cell count (9390 vs. 10 900/μL, p = 0.005) and C‐reactive protein levels (3.81 vs. 7.83 mg/dL, p < 0.001) compared to those in the group not receiving OA. Conclusion Preoperative administration of OA in laparoscopic or robot‐assisted right‐sided colon cancer surgery with IA may help decrease the incidence of SSI. |
| format | Article |
| id | doaj-art-e4ba50de3a844f7587eb4231e8749f89 |
| institution | OA Journals |
| issn | 2475-0328 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wiley |
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| series | Annals of Gastroenterological Surgery |
| spelling | doaj-art-e4ba50de3a844f7587eb4231e8749f892025-08-20T02:38:02ZengWileyAnnals of Gastroenterological Surgery2475-03282025-07-019471171810.1002/ags3.12896Bowel preparation and surgical site infections in laparoscopic and robot‐assisted right‐sided colon cancer surgery with intracorporeal anastomosis: A retrospective studyNaoya Ozawa0Tomohiro Yamaguchi1Takumi Kozu2Tatsuki Noguchi3Takashi Sakamoto4Shimpei Matsui5Toshiki Mukai6Takashi Akiyoshi7Yosuke Fukunaga8Department of Gastroenterological Surgery Cancer Institute Hospital of Japanese Foundation for Cancer Research Tokyo JapanDepartment of Gastroenterological Surgery Cancer Institute Hospital of Japanese Foundation for Cancer Research Tokyo JapanDepartment of Gastroenterological Surgery Cancer Institute Hospital of Japanese Foundation for Cancer Research Tokyo JapanDepartment of Gastroenterological Surgery Cancer Institute Hospital of Japanese Foundation for Cancer Research Tokyo JapanDepartment of Gastroenterological Surgery Cancer Institute Hospital of Japanese Foundation for Cancer Research Tokyo JapanDepartment of Gastroenterological Surgery Cancer Institute Hospital of Japanese Foundation for Cancer Research Tokyo JapanDepartment of Gastroenterological Surgery Cancer Institute Hospital of Japanese Foundation for Cancer Research Tokyo JapanDepartment of Gastroenterological Surgery Cancer Institute Hospital of Japanese Foundation for Cancer Research Tokyo JapanDepartment of Gastroenterological Surgery Cancer Institute Hospital of Japanese Foundation for Cancer Research Tokyo JapanAbstract Aim Previous studies have examined bowel preparation as a measure to reduce surgical site infection (SSI) rates. This retrospective study aimed to identify the risk factors for SSI in right‐sided colon cancer surgery using intracorporeal anastomosis (IA). We focused on perioperative factors, including the bowel preparation method, to clarify the impact of preoperative mechanical bowel preparation (MBP) and oral antibiotics (OA) on SSI incidence. Methods Patients (n = 150) with right‐sided colon cancer who underwent elective laparoscopic or robot‐assisted colectomy (2019 and 2023) were included. Potential risk factors for SSI were examined using univariate and multivariate analyses. Results The overall incidence of SSI was 11 (7.3%) cases, with eight (5.4%) cases classified as incision site SSI and three (1.9%) as organ/space SSI. Univariate analysis showed that OA (p < 0.001) and MBP (p = 0.002) significantly reduced the SSI rate. Multivariate analysis identified OA as an independent risk factor (hazard ratio, 0.142; 95% confidence interval, 0.025–0.827; p = 0.025). Patients with SSI had longer postoperative hospital stays compared to those without SSI (median 9 vs. 8 days, p = 0.012). On postoperative day 1, the group receiving OA had significantly lower white blood cell count (9390 vs. 10 900/μL, p = 0.005) and C‐reactive protein levels (3.81 vs. 7.83 mg/dL, p < 0.001) compared to those in the group not receiving OA. Conclusion Preoperative administration of OA in laparoscopic or robot‐assisted right‐sided colon cancer surgery with IA may help decrease the incidence of SSI.https://doi.org/10.1002/ags3.12896bowel preparationinflammatory responseintracorporeal anastomosisoral antibioticssurgical site infection |
| spellingShingle | Naoya Ozawa Tomohiro Yamaguchi Takumi Kozu Tatsuki Noguchi Takashi Sakamoto Shimpei Matsui Toshiki Mukai Takashi Akiyoshi Yosuke Fukunaga Bowel preparation and surgical site infections in laparoscopic and robot‐assisted right‐sided colon cancer surgery with intracorporeal anastomosis: A retrospective study Annals of Gastroenterological Surgery bowel preparation inflammatory response intracorporeal anastomosis oral antibiotics surgical site infection |
| title | Bowel preparation and surgical site infections in laparoscopic and robot‐assisted right‐sided colon cancer surgery with intracorporeal anastomosis: A retrospective study |
| title_full | Bowel preparation and surgical site infections in laparoscopic and robot‐assisted right‐sided colon cancer surgery with intracorporeal anastomosis: A retrospective study |
| title_fullStr | Bowel preparation and surgical site infections in laparoscopic and robot‐assisted right‐sided colon cancer surgery with intracorporeal anastomosis: A retrospective study |
| title_full_unstemmed | Bowel preparation and surgical site infections in laparoscopic and robot‐assisted right‐sided colon cancer surgery with intracorporeal anastomosis: A retrospective study |
| title_short | Bowel preparation and surgical site infections in laparoscopic and robot‐assisted right‐sided colon cancer surgery with intracorporeal anastomosis: A retrospective study |
| title_sort | bowel preparation and surgical site infections in laparoscopic and robot assisted right sided colon cancer surgery with intracorporeal anastomosis a retrospective study |
| topic | bowel preparation inflammatory response intracorporeal anastomosis oral antibiotics surgical site infection |
| url | https://doi.org/10.1002/ags3.12896 |
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