The risk factors for incisional hernia after laparoscopic colorectal surgery: a multicenter retrospective study at Yokohama Clinical Oncology Group.
Colorectal cancer
Incisional hernia
Laparoscopic surgery
Preoperative umbilical hernia
Visceral fat area
Journal
Surgical endoscopy
ISSN: 1432-2218
Titre abrégé: Surg Endosc
Pays: Germany
ID NLM: 8806653
Informations de publication
Date de publication:
07 2021
07 2021
Historique:
received:
02
03
2020
accepted:
07
07
2020
pubmed:
16
7
2020
medline:
30
9
2021
entrez:
16
7
2020
Statut:
ppublish
Résumé
Incisional hernia (IH) is a common complication after colorectal surgery. However, the risk factors for incisional hernia after laparoscopic colorectal surgery (LCRS) have not been fully elucidated. This retrospective study analyzed the incidence rate of IH and evaluated the risk factors for IH after LCRS. This was a retrospective multi-institution study of 423 colorectal cancer patients conducted between September 2012 and December 2014 in Yokohama Clinical Oncology Group. The diagnosis of IH was based on computed tomography and physical examination findings. The patient-, tumor-, and surgery-related variables were examined by univariate and multivariate analyses. A total of 423 patients were analyzed. The median follow-up period was 48.4 months. IH was observed in 36 patients (8.5%). The 1-year incidence of IH was 5.2%, and the 4-year incidence was 8.5%. A multivariate analysis showed that preoperative umbilical hernia (odds ratio [OR] 5.71; 95% confidence interval [CI] 2.02-16.10; p = 0.001) and a visceral fat area (VFA) ≥ 100 cm The risk factors of IH after LCRS were preoperative umbilical hernia and VFA ≥ 100 cm The trial was registered with the UMIN Clinical Trials Registry, number 000038707.
Sections du résumé
BACKGROUND
Incisional hernia (IH) is a common complication after colorectal surgery. However, the risk factors for incisional hernia after laparoscopic colorectal surgery (LCRS) have not been fully elucidated. This retrospective study analyzed the incidence rate of IH and evaluated the risk factors for IH after LCRS.
METHODS
This was a retrospective multi-institution study of 423 colorectal cancer patients conducted between September 2012 and December 2014 in Yokohama Clinical Oncology Group. The diagnosis of IH was based on computed tomography and physical examination findings. The patient-, tumor-, and surgery-related variables were examined by univariate and multivariate analyses.
RESULTS
A total of 423 patients were analyzed. The median follow-up period was 48.4 months. IH was observed in 36 patients (8.5%). The 1-year incidence of IH was 5.2%, and the 4-year incidence was 8.5%. A multivariate analysis showed that preoperative umbilical hernia (odds ratio [OR] 5.71; 95% confidence interval [CI] 2.02-16.10; p = 0.001) and a visceral fat area (VFA) ≥ 100 cm
CONCLUSIONS
The risk factors of IH after LCRS were preoperative umbilical hernia and VFA ≥ 100 cm
CLINICAL TRIALS REGISTRATION
The trial was registered with the UMIN Clinical Trials Registry, number 000038707.
Identifiants
pubmed: 32666255
doi: 10.1007/s00464-020-07794-z
pii: 10.1007/s00464-020-07794-z
doi:
Types de publication
Journal Article
Multicenter Study
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
3471-3478Références
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