Predictors of surgical site infection after liver resection: a multicentre analysis using National Surgical Quality Improvement Program data

Elola-Olaso, A. Moreno; Davenport, Daniel L.; Hundley, Jonathan C.; Daily, Michael F.; Gedaly, Roberto

doi:10.1111/j.1477-2574.2011.00417.x

Cited by 110 publications

(91 citation statements)

References 26 publications

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“…[6]. In addition to our prior work, multiple other studies have confirmed the impact of nutritional status and endogenous patient risk factors on surgical morbidity in general [7][8][9]. While many factors such as age, performance status, frailty and nutrition can be determined prior to surgery, tumor dissemination (and thus extent of surgery required for complete cytoreduction) is more difficult to assess preoperatively.…”

Section: Introductionsupporting

confidence: 57%

The Use of CT Findings to Predict Extent of Tumor at Primary Surgery for Ovarian Cancer

Glaser

Torres

Kim

et al. 2013

Obstetrical &Amp; Gynecological Survey

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Section: Introductionsupporting

confidence: 57%

The Use of CT Findings to Predict Extent of Tumor at Primary Surgery for Ovarian Cancer

Glaser

Torres

Kim

et al. 2013

Obstetrical &Amp; Gynecological Survey

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“…In the literature review [2,5,6,8,[15][16][17][18][19] (Table 5), we found that studies conducted in Asian countries showed low rates of incisional SSI compared with those conducted in Europe or America. By contrast, the incidences of organ/space SSIs were similar between these regions.…”

Section: Systematic Literature Reviewmentioning

confidence: 97%

“…After hepatectomy, bile leakage, ascites, and surgical site infection (SSI) are the main causes of major postoperative morbidity [2][3][4]. The incidence of SSIs after hepatectomy has been reported to be 3.1-14% [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Surgical Site Infection after Hepatectomy for Hepatocellular Carcinoma

Shirata

Hasegawa²,

Kobayashi³

et al. 2017

Dig Surg

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Aims: To clarify the clinical impact, risk factors, and preventive methods for surgical site infection (SSI) after hepatectomy for hepatocellular carcinoma (HCC). Methods: We included 879 consecutive patients who underwent hepatectomy for HCC between 2002 and 2011. Univariate and multivariate analyses were conducted to identify the risk factors for incisional and organ/space SSIs. ORs and 95% CIs are reported. Results: The incidences of incisional and organ/space SSIs were 24 (2.7%) and 73 (8.3%), respectively. High body mass index, multiple resections, and organ/space SSI were associated with incisional SSIs, while repeat hepatectomy (OR 2.14, 95% CI 1.27-3.60), ascites (OR 2.97, 95% CI 1.55-5.48), and bile leakage (OR 4.77, 95% CI 2.77-8.11) were independent risk factors for organ/space SSI. Among the cases with bile leakage, lower rates of organ/space SSIs tended to be observed in patients with cystic duct tubes than in patients without such tubes (13.2 vs. 26.5%, p = 0.157). Retrograde drain infections increased when drain placement was prolonged for more than 4 postoperative days. Conclusion: Bile leakage was associated with the greatest risk of organ/space SSI after hepatectomy for HCC. Cystic duct tubes might be useful for preventing bile leakage and subsequent organ/space SSI after procedures that extensively expose Glissonean pedicles.

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“…The correlation between SSI and sex has shown conflicting results. One study found that SSI is more common in male patients (p < 0.001) 9 , whereas another found that it was more common in female patients (p = 0.000) 11 . Gastrointestinal surgeries exhibited differences in the development of SSI.…”

Section: Discussionmentioning

confidence: 99%

“…In the present study, other risk factors for SSI were observed, namely intraoperative transfusion of blood components, surgical reinterventions, and African or mixed ethnicity. Blood transfusion causes patient's immunosuppression, which may have increased the likelihood of developing SSI [8][9][10] . Reintervention may be a risk factor due to additional handling of the surgical site, favoring the colonization and carrying of microorganisms to the surgical site 10 .…”

Section: Discussionmentioning

confidence: 99%

Applicability of the surgical site infection risk index to patients undergoing cardiac, neurologic and orthopedic surgery

Bonmann¹,

Lovatto²,

Deutschendorf³

2017

Clin. Biomed. Res.

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Introduction: The surgical site infection risk index (SSIRI) includes three risk factors for surgical site infection (SSI): potential for surgical contamination, duration of surgery, and patient's ASA score. A patient having a preoperative American Society of Anesthesiologists (ASA) score of III, IV or IV; a surgery classified as either contaminated or dirty-infected; an operation with duration of surgery more than T hours, where T depends on the surgical procedure being performed are considered in risk of SSI. The SSIRI can be used as a method of postoperative surveillance. The aim of this study is to analyze the applicability of the SSIRI to patients undergoing cardiac, neurologic and orthopedic surgery.

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Predictors of surgical site infection after liver resection: a multicentre analysis using National Surgical Quality Improvement Program data

Abstract: These findings may contribute towards the identification of patients at risk for SSI and the development of strategies to reduce the incidence of SSI and subsequent costs after liver resection.

Cited by 110 publications

References 26 publications

The Use of CT Findings to Predict Extent of Tumor at Primary Surgery for Ovarian Cancer

The Use of CT Findings to Predict Extent of Tumor at Primary Surgery for Ovarian Cancer

Surgical Site Infection after Hepatectomy for Hepatocellular Carcinoma

Applicability of the surgical site infection risk index to patients undergoing cardiac, neurologic and orthopedic surgery

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