Choice of specimen’s extraction site affects wound morbidity in laparoscopic colorectal cancer surgery
<h3>Background</h3><p dir="ltr">The choice for an ideal site of specimen extraction following laparoscopic colorectal surgery remains debatable. However, midline incision (MI) is usually employed for right and left–sided colonic resections while left iliac fossa or suprap...
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2022
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| _version_ | 1864513547386486784 |
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| author | Mahmood Al Dhaheri (21406826) |
| author2 | Mohanad Ibrahim (21406829) Omer Al-Yahri (16810716) Ibrahim Amer (17766015) Mahwish Khawar (9621038) Noof Al-Naimi (21406832) Ayman Abdelhafiz Ahmed (17766018) Mohamed Abu Nada (17766021) Amjad Parvaiz (13873667) |
| author2_role | author author author author author author author author |
| author_facet | Mahmood Al Dhaheri (21406826) Mohanad Ibrahim (21406829) Omer Al-Yahri (16810716) Ibrahim Amer (17766015) Mahwish Khawar (9621038) Noof Al-Naimi (21406832) Ayman Abdelhafiz Ahmed (17766018) Mohamed Abu Nada (17766021) Amjad Parvaiz (13873667) |
| author_role | author |
| dc.creator.none.fl_str_mv | Mahmood Al Dhaheri (21406826) Mohanad Ibrahim (21406829) Omer Al-Yahri (16810716) Ibrahim Amer (17766015) Mahwish Khawar (9621038) Noof Al-Naimi (21406832) Ayman Abdelhafiz Ahmed (17766018) Mohamed Abu Nada (17766021) Amjad Parvaiz (13873667) |
| dc.date.none.fl_str_mv | 2022-10-11T09:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1007/s00423-022-02701-7 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Choice_of_specimen_s_extraction_site_affects_wound_morbidity_in_laparoscopic_colorectal_cancer_surgery/29126678 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Oncology and carcinogenesis Health sciences Epidemiology Laparoscopic surgery Colorectal cancer Surgical site infection Incisional hernia Specimen extraction site |
| dc.title.none.fl_str_mv | Choice of specimen’s extraction site affects wound morbidity in laparoscopic colorectal cancer surgery |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Background</h3><p dir="ltr">The choice for an ideal site of specimen extraction following laparoscopic colorectal surgery remains debatable. However, midline incision (MI) is usually employed for right and left–sided colonic resections while left iliac fossa or suprapubic transverse incision (STI) were reserved for sigmoid and rectal cancer resections.</p><h3>Objective</h3><p dir="ltr">To compare the incidence of surgical site infection (SSI) and incisional hernia (IH) in elective laparoscopic colorectal surgery for cancer and specimen extraction via MI or STI.</p><h3>Method</h3><p dir="ltr">Prospectively collected data of elective laparoscopic colorectal cancer resections between January 2017 and December 2019 were retrospectively reviewed. MI was employed for right and left–sided colonic resections while STI was used for sigmoid and rectal resections. SSI is defined according to the US CDC criteria. IH was diagnosed clinically and confirmed by CT scan at 1 year.</p><h3>Results</h3><p dir="ltr">A total of 168 patients underwent elective laparoscopic colorectal resections. MI was used in 90 patients while 78 patients had STI as an extraction site. Demographic and preoperative data is similar for two groups. The rate of IH was 13.3% for MI and 0% in the STI (p = 0.001). SSI was seen in 16.7% of MI vs 11.5% of STI (p = 0.34). Univariate and multivariate analysis showed that the choice of extraction site is associated with statistically significant higher incisional hernia rate.</p><h3>Conclusion</h3><p dir="ltr">MI for specimen extraction is associated with higher incidence of both SSI and IH. The choice of incision for extraction site is an independent predicative factor for significantly higher IH and increased SSI rates.</p><h2>Other Information</h2><p dir="ltr">Published in: Langenbeck's Archives of Surgery<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00423-022-02701-7" target="_blank">https://dx.doi.org/10.1007/s00423-022-02701-7</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_8d16de0d919c529b6e19d7a34f4eca66 |
| identifier_str_mv | 10.1007/s00423-022-02701-7 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/29126678 |
| publishDate | 2022 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Choice of specimen’s extraction site affects wound morbidity in laparoscopic colorectal cancer surgeryMahmood Al Dhaheri (21406826)Mohanad Ibrahim (21406829)Omer Al-Yahri (16810716)Ibrahim Amer (17766015)Mahwish Khawar (9621038)Noof Al-Naimi (21406832)Ayman Abdelhafiz Ahmed (17766018)Mohamed Abu Nada (17766021)Amjad Parvaiz (13873667)Biomedical and clinical sciencesOncology and carcinogenesisHealth sciencesEpidemiologyLaparoscopic surgeryColorectal cancerSurgical site infectionIncisional herniaSpecimen extraction site<h3>Background</h3><p dir="ltr">The choice for an ideal site of specimen extraction following laparoscopic colorectal surgery remains debatable. However, midline incision (MI) is usually employed for right and left–sided colonic resections while left iliac fossa or suprapubic transverse incision (STI) were reserved for sigmoid and rectal cancer resections.</p><h3>Objective</h3><p dir="ltr">To compare the incidence of surgical site infection (SSI) and incisional hernia (IH) in elective laparoscopic colorectal surgery for cancer and specimen extraction via MI or STI.</p><h3>Method</h3><p dir="ltr">Prospectively collected data of elective laparoscopic colorectal cancer resections between January 2017 and December 2019 were retrospectively reviewed. MI was employed for right and left–sided colonic resections while STI was used for sigmoid and rectal resections. SSI is defined according to the US CDC criteria. IH was diagnosed clinically and confirmed by CT scan at 1 year.</p><h3>Results</h3><p dir="ltr">A total of 168 patients underwent elective laparoscopic colorectal resections. MI was used in 90 patients while 78 patients had STI as an extraction site. Demographic and preoperative data is similar for two groups. The rate of IH was 13.3% for MI and 0% in the STI (p = 0.001). SSI was seen in 16.7% of MI vs 11.5% of STI (p = 0.34). Univariate and multivariate analysis showed that the choice of extraction site is associated with statistically significant higher incisional hernia rate.</p><h3>Conclusion</h3><p dir="ltr">MI for specimen extraction is associated with higher incidence of both SSI and IH. The choice of incision for extraction site is an independent predicative factor for significantly higher IH and increased SSI rates.</p><h2>Other Information</h2><p dir="ltr">Published in: Langenbeck's Archives of Surgery<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00423-022-02701-7" target="_blank">https://dx.doi.org/10.1007/s00423-022-02701-7</a></p>2022-10-11T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s00423-022-02701-7https://figshare.com/articles/journal_contribution/Choice_of_specimen_s_extraction_site_affects_wound_morbidity_in_laparoscopic_colorectal_cancer_surgery/29126678CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/291266782022-10-11T09:00:00Z |
| spellingShingle | Choice of specimen’s extraction site affects wound morbidity in laparoscopic colorectal cancer surgery Mahmood Al Dhaheri (21406826) Biomedical and clinical sciences Oncology and carcinogenesis Health sciences Epidemiology Laparoscopic surgery Colorectal cancer Surgical site infection Incisional hernia Specimen extraction site |
| status_str | publishedVersion |
| title | Choice of specimen’s extraction site affects wound morbidity in laparoscopic colorectal cancer surgery |
| title_full | Choice of specimen’s extraction site affects wound morbidity in laparoscopic colorectal cancer surgery |
| title_fullStr | Choice of specimen’s extraction site affects wound morbidity in laparoscopic colorectal cancer surgery |
| title_full_unstemmed | Choice of specimen’s extraction site affects wound morbidity in laparoscopic colorectal cancer surgery |
| title_short | Choice of specimen’s extraction site affects wound morbidity in laparoscopic colorectal cancer surgery |
| title_sort | Choice of specimen’s extraction site affects wound morbidity in laparoscopic colorectal cancer surgery |
| topic | Biomedical and clinical sciences Oncology and carcinogenesis Health sciences Epidemiology Laparoscopic surgery Colorectal cancer Surgical site infection Incisional hernia Specimen extraction site |