腹腔镜胆囊切除术患者术后切口感染的相关影响因素齐萌 孙亚兰

doi:10.3969/j.issn.1671-7171.2023.12.032

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (1291 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract 【Objective】To explore the related influencing factors of postoperative incisional infection after laparoscopic cholecystectomy (LC).【Methods】A retrospective analysis of 80 patients treated with LC in our hospital from April 2020 to April 2022. Patients were divided into the incision infection group (n=20) and the incision non-infection group (n=60) based on whether postoperative incision infection occurred. General data of patients in the incision infection group were compared to those in the incision non-infection group. Logistic multiple regression analysis was then performed on single factors with statistical significance, and the receiver operating characteristic (ROC) curve was used to analyze the clinical value of relevant influencing factors in predicting postoperative incisional infection after LC.【Results】The proportion of patients with incision infection in terms of age >55 years old, surgery time>60 minutes, emergency surgery, and gallbladder rupture in the incision infection group was significantly higher than that in the incision non-infection group; and the difference was statistically significant (P<0.05). The results of logistic multiple regression analysis showed that surgical time, emergency surgery, and gallbladder rupture were the influencing factors of incision infection after LC surgery (P<0.05). ROC curve analysis showed that the area under the curve (AUC) of surgical time, emergency surgery, and gallbladder rupture for predicting incision infection after LC surgery were 0.758, 0.733, and 0.808, respectively. While their Youden Index was 0.467, 0.441, and 0.617, respectively. 【Conclusion】The risk factors for incision infection during laparoscopic cholecystectomy are the operation time,emergency surgery and gallbladder rupture. Clinically, targeted treatment plans need to be formulated for such patients.

Key words： Cholecystectomy, Laparoscopic/AE Surgical Wound Infection Root Cause Analysis

Received: 21 September 2022

PACS:

R657.4

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	QI Meng
	SUN Yalan
	JIA Wencheng
	et al

Cite this article:

QI Meng,SUN Yalan,JIA Wencheng, et al. Risk Factors of Postoperative Incision Infection after Laparoscopic Cholecystectomy[J]. JOURNAL OF CLINICAL RESEARCH, 2023, 40(12): 1933-1935.

URL:

http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2023.12.032 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2023/V40/I12/1933

[1] 季刚,黄文磊,曹华祥. 腹腔镜胆囊切除术前MRCP与术中胆道造影的临床价值[J].医学临床研究, 2020,37(1):74-76.
[2] 张成,安东均,王羊,等. 微创外科技术在腹腔镜胆囊切除术后胆道再次手术中的应用[J].中国现代手术学杂志, 2022,26(3):172-176.
[3] 王胜, 倪勇. 腹腔镜胆囊切除术中转开腹的危险因素及预后分析[J].实用医学杂志, 2017,33(16):2714-2716.
[4] 中华医学会外科学分会胆道外科学组, 中国医师协会外科医师分会胆道外科医师委员会. 胆囊切除术后常见并发症的诊断与治疗专家共识(2018版)[J].全科医学临床与教育, 2018,16(3):244-246.
[5] 张铃福, 侯纯升, 徐智, 等. 腹腔镜胆囊切除术中或术后意外胆囊癌腹腔镜手术治疗:单中心10年回顾性分析[J].中华外科杂志, 2019,57(4):277-281.
[6] 李雪雁, 邵君. 切口感染预防护理应用于腹腔镜胆囊切除术后的效果[J].临床医学研究与实践, 2019,4(17):177-179.
[7] 侯泽斌, 段亚飞, 徐辉, 等. 单孔腹腔镜胆囊切除术手术时间延长的影响因素分析[J].腹腔镜外科杂志, 2022,27(5):362-366.
[8] 张海燕. 经腹腔镜胆囊切除术治疗急性结石性胆囊炎后的护理体会[J].现代诊断与治疗, 2022,33(8):1240-1242.
[9] 陈立军, 彭靖, 马军亮, 等. 急性结石性胆囊炎腹腔镜胆囊切除术预防性应用抗生素的疗效观察[J].中国普通外科杂志, 2019,28(8):1018-1022.
[10] 李东峰. 胆囊微创手术患者胆囊破裂后抗菌药物应用对手术部位感染影响的研究[J].中国医药指南, 2020,18(17):139-140.
[11] 杨留苍, 韩承新, 杨学占. GradeⅡ急性结石性胆囊炎患者经皮胆囊穿刺引流后择期腹腔镜胆囊切除术治疗的回顾性研究[J].中国医学工程, 2022,30(6):119-122.
[12] 赵亮, 张郁峰. 腹腔镜手术中不同方式处理胆囊动脉主干对急性结石性胆囊炎患者疗效及对预后影响研究[J].创伤与急危重病医学, 2022,10(4):303-305.
[13] 陈阳. 急诊腹腔镜胆囊切除术改善急性结石性胆囊炎患者免疫功能及炎症因子的效果分析[J].河南外科学杂志, 2022,28(3):152-153.

[1]	. [J]. JOURNAL OF CLINICAL RESEARCH, 2024, 41(1): 120-122.