دورية أكاديمية
أعرض في EDS

Effect of Specimen Extraction Site on Postoperative Incisional Hernia after Minimally Invasive Right Colectomy.

التفاصيل البيبلوغرافية
العنوان: Effect of Specimen Extraction Site on Postoperative Incisional Hernia after Minimally Invasive Right Colectomy.
المؤلفون: Johnson JA; From the Department of Surgery, Weill Cornell Medicine, New York Presbyterian Hospital, New York, NY (Johnson, Mesiti, Herre, Zambare, Pigazzi, Jafari)., Mesiti A; From the Department of Surgery, Weill Cornell Medicine, New York Presbyterian Hospital, New York, NY (Johnson, Mesiti, Herre, Zambare, Pigazzi, Jafari)., Herre M; From the Department of Surgery, Weill Cornell Medicine, New York Presbyterian Hospital, New York, NY (Johnson, Mesiti, Herre, Zambare, Pigazzi, Jafari)., Farzaneh C; Department of Surgery, University of California, Irvine Medical Center, Orange, CA (Farzaneh, Carmichael)., Li Y; Department of Population Health Sciences, Weill Cornell Medicine, New York, NY (Li)., Zambare W; From the Department of Surgery, Weill Cornell Medicine, New York Presbyterian Hospital, New York, NY (Johnson, Mesiti, Herre, Zambare, Pigazzi, Jafari)., Carmichael J; Department of Surgery, University of California, Irvine Medical Center, Orange, CA (Farzaneh, Carmichael)., Pigazzi A; From the Department of Surgery, Weill Cornell Medicine, New York Presbyterian Hospital, New York, NY (Johnson, Mesiti, Herre, Zambare, Pigazzi, Jafari)., Jafari MD; From the Department of Surgery, Weill Cornell Medicine, New York Presbyterian Hospital, New York, NY (Johnson, Mesiti, Herre, Zambare, Pigazzi, Jafari).
المصدر: Journal of the American College of Surgeons [J Am Coll Surg] 2024 Aug 01; Vol. 239 (2), pp. 107-112. Date of Electronic Publication: 2024 Jul 17.
نوع المنشور: Journal Article; Multicenter Study
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins, Inc Country of Publication: United States NLM ID: 9431305 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1190 (Electronic) Linking ISSN: 10727515 NLM ISO Abbreviation: J Am Coll Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: 2022- : [Baltimore, MD] : Lippincott Williams & Wilkins, Inc.
Original Publication: Chicago, Ill. : The College, c1994-
مواضيع طبية MeSH: Colectomy*/adverse effects , Colectomy*/methods , Incisional Hernia*/etiology , Incisional Hernia*/epidemiology, Humans ; Female ; Male ; Retrospective Studies ; Aged ; Middle Aged ; Minimally Invasive Surgical Procedures/adverse effects ; Minimally Invasive Surgical Procedures/methods ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Risk Factors
مستخلص: Background: Incisional hernia (IH) is a known complication after colorectal surgery. Despite advances in minimally invasive surgery, colorectal surgery still requires extraction sites for specimen retrieval, increasing the likelihood of postoperative IH development. The objective of this study is to determine the effect of specimen extraction site on the rate of IH after minimally invasive right-sided colectomy for patients with available imaging.
Study Design: This is a retrospective multi-institutional cohort study at 2 large academic medical centers in the US. Adults who underwent right-sided minimally invasive colectomy from 2012 to 2020 with abdominal imaging available at least 1 year postoperatively were included in the analysis. The primary exposure was specimen extraction via a midline specimen extraction vs Pfannenstiel specimen extraction. The main outcome was the development of IH at least 1 year postoperatively as visualized on a CT scan.
Results: Of the 341 patients sampled, 194 (57%) had midline specimen extraction and 147 (43%) had a Pfannenstiel specimen extraction. Midline extraction patients were older (66 ± 15 vs 58 ± 16; p < 0.001) and had a higher rate of previous abdominal operation (99, 51% vs 55, 37%, p = 0.01). The rate of IH was higher in midline extraction at 25% (48) compared with Pfannenstiel extraction (0, 0%; p < 0.001). The average length of stay was higher in the midline extraction group at 5.1 ± 2.5 compared with 3.4 ± 3.1 days in the Pfannenstiel extraction group (p < 0.001). Midline extraction was associated with IH development (odds ratio 24.6; 95% CI 1.89 to 319.44; p = 0.004). Extracorporeal anastomosis was associated with a higher IH rate (odds ratio 25.8; 95% CI 2.10 to 325.71; p = 0.002).
Conclusions: Patients who undergo Pfannenstiel specimen extraction have a lower risk of IH development compared with those who undergo midline specimen extraction.
(Copyright © 2024 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.)
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تواريخ الأحداث: Date Created: 20240228 Date Completed: 20240717 Latest Revision: 20240717
رمز التحديث: 20240717
DOI: 10.1097/XCS.0000000000001060
PMID: 38415817
قاعدة البيانات: MEDLINE
الوصف
تدمد:1879-1190
DOI:10.1097/XCS.0000000000001060