内容紹介
Relationship between Surgical Site Infection(SSI)Incidence and Prognosis in Colorectal Cancer Surgery
Summary
We examined the relationship between risk factors for surgical site infections(SSIs)and prognosis in 440 patients who underwent colon cancer surgery. We evaluated factors related to SSIs(Grade≥Ⅱ)and compared survival rates by stage. SSIs were observed in 36 patients. An increased SSI incidence was associated with pulmonary dysfunction, mGPS=2, CONUT≥2, PNI≤40, NLR>4.3, location(rectum), depth of tumor invasion(≥subserosa, SS), lymph node metastasis, laparotomy, resection of other organs, colostomy, blood loss(large), and operative time(long). Survival rates were lower in Stage Ⅱ/Ⅲ patients with SSIs. Preoperative risk judgment is important in colorectal cancer surgery.
要旨
大腸癌切除を施行した440例を対象に,surgical site infection(SSI)発症(≧GradeⅡ)に関連する因子を検討した。また,予後をStage別に比較した。SSI発症(36例)は,肺機能障害,mGPS,CONUT,PNI,NLR,占居部位,深達度,リンパ節転移,到達法,合併切除臓器,人工肛門造設,出血量,手術時間と関連していた。予後をみると,StageⅡ,StageⅢではSSI発症例の予後が不良であった。大腸癌手術では術前リスク判定を行い,周術期管理や感染予防対策を行う必要がある。
目次
Summary
We examined the relationship between risk factors for surgical site infections(SSIs)and prognosis in 440 patients who underwent colon cancer surgery. We evaluated factors related to SSIs(Grade≥Ⅱ)and compared survival rates by stage. SSIs were observed in 36 patients. An increased SSI incidence was associated with pulmonary dysfunction, mGPS=2, CONUT≥2, PNI≤40, NLR>4.3, location(rectum), depth of tumor invasion(≥subserosa, SS), lymph node metastasis, laparotomy, resection of other organs, colostomy, blood loss(large), and operative time(long). Survival rates were lower in Stage Ⅱ/Ⅲ patients with SSIs. Preoperative risk judgment is important in colorectal cancer surgery.
要旨
大腸癌切除を施行した440例を対象に,surgical site infection(SSI)発症(≧GradeⅡ)に関連する因子を検討した。また,予後をStage別に比較した。SSI発症(36例)は,肺機能障害,mGPS,CONUT,PNI,NLR,占居部位,深達度,リンパ節転移,到達法,合併切除臓器,人工肛門造設,出血量,手術時間と関連していた。予後をみると,StageⅡ,StageⅢではSSI発症例の予後が不良であった。大腸癌手術では術前リスク判定を行い,周術期管理や感染予防対策を行う必要がある。