Clinical observation of extraction-site incisional hernia after laparoscopic colorectal surgery

Fan, Bao-Hang1; Zhong, Ke-Li2,3; Zhu, Li-Jin3,4; Chen, Zhao1; Li, Fang2,3; Wu, Wen-Fei1

2024-03-27

10.4240/wjgs.v16.i3.710

WORLD JOURNAL OF GASTROINTESTINAL SURGERY   影响因子和分区

1948-9366

BACKGROUND Laparoscopic colorectal cancer surgery increases the risk of incisional hernia (IH) at the tumor extraction site. AIM To investigate the incidence of IH at extraction sites following laparoscopic colorectal cancer surgery and identify the risk factors for IH incidence. METHODS This study retrospectively analyzed the data of 1614 patients who underwent laparoscopic radical colorectal cancer surgery with tumor extraction through the abdominal wall at our center between January 2017 and December 2022. Differences in the incidence of postoperative IH at different extraction sites and the risk factors for IH incidence were investigated. RESULTS Among the 1614 patients who underwent laparoscopic radical colorectal cancer surgery, 303 (18.8%), 923 (57.2%), 171 (10.6%), and 217 (13.4%) tumors were extracted through supraumbilical midline, infraumbilical midline, umbilical, and off-midline incisions. Of these, 52 patients developed IH in the abdominal wall, with an incidence of 3.2%. The incidence of postoperative IH was significantly higher in the off-midline incision group (8.8%) than in the middle incision groups [the supraumbilical midline (2.6%), infraumbilical midline (2.2%), and umbilical incision (2.9%) groups] (chi(2) = 24.985; P < 0.05). Univariate analysis showed that IH occurrence was associated with age, obesity, sex, chronic cough, incision infection, and combined diabetes, anemia, and hypoproteinemia (P < 0.05). Similarly, multivariate analysis showed that off-midline incision, age, sex (female), obesity, incision infection, combined chronic cough, and hypoproteinemia were independent risk factors for IH at the site of laparoscopic colorectal cancer surgery (P < 0.05). CONCLUSION The incidence of postoperative IH differs between extraction sites for laparoscopic colorectal cancer surgery. The infraumbilical midline incision is associated with a lower hernia rate and is thus a suitable tumor extraction site.

Incisional hernia Laparoscopy Colorectal cancer Incision infection

SCI

英语

通讯

Gastroenterology & Hepatology ; Surgery

Gastroenterology & Hepatology ; Surgery

WOS:001198258900031

BAISHIDENG PUBLISHING GROUP INC

Web of Science

1.Jinan Univ, Clin Med Coll 2, Shenzhen 518020, Guangdong, Peoples R China
2.Jinan Univ, Shenzhen Peoples Hosp, Clin Med Coll 2, Dept Gastrointestinal Surg, Shenzhen 518020, Guangdong, Peoples R China
3.Southern Univ Sci & Technol, Affiliated Hosp 1, Shenzhen 518020, Guangdong, Peoples R China
4.Jinan Univ, Shenzhen Peoples Hosp, Clin Med Coll 2, Dept Radiat Oncol, Shenzhen 518020, Guangdong, Peoples R China

Fan, Bao-Hang,Zhong, Ke-Li,Zhu, Li-Jin,et al. Clinical observation of extraction-site incisional hernia after laparoscopic colorectal surgery[J]. WORLD JOURNAL OF GASTROINTESTINAL SURGERY,2024,16(3).

Fan, Bao-Hang,Zhong, Ke-Li,Zhu, Li-Jin,Chen, Zhao,Li, Fang,&Wu, Wen-Fei.(2024).Clinical observation of extraction-site incisional hernia after laparoscopic colorectal surgery.WORLD JOURNAL OF GASTROINTESTINAL SURGERY,16(3).

Fan, Bao-Hang,et al."Clinical observation of extraction-site incisional hernia after laparoscopic colorectal surgery".WORLD JOURNAL OF GASTROINTESTINAL SURGERY 16.3(2024).