{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T05:30:17Z","timestamp":1782624617800,"version":"3.54.5"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,1,11]],"date-time":"2019-01-11T00:00:00Z","timestamp":1547164800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Annals of Gastroent Surgery"],"published-print":{"date-parts":[[2019,3]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>Surgical site infection (SSI<\/jats:styled-content>) is a common morbidity in patients undergoing colorectal surgery, and the focus of previous studies has primarily been on incisional SSI<\/jats:styled-content>. Most reports thus far have focused on open surgery rather than on laparoscopic colorectal surgery (Lap CR<\/jats:styled-content>). Therefore, the aim of the present study was to identify the risk factors for incisional SSI<\/jats:styled-content> in patients undergoing elective Lap CR<\/jats:styled-content>.<\/jats:p><\/jats:sec>Methods<\/jats:title>This retrospective study was conducted to evaluate the occurrence and risk factors of incisional SSI<\/jats:styled-content> for elective Lap CR<\/jats:styled-content>. From January 2008 to June 2018, 1825 consecutive patients with a preoperative diagnosis of colorectal cancer who underwent Lap CR<\/jats:styled-content> were analyzed at a single\u00a0institution.<\/jats:p><\/jats:sec>Results<\/jats:title>Incidence of incisional SSI<\/jats:styled-content> was 3.3%. Postoperative hospital stay (days) was significantly longer in the incisional SSI<\/jats:styled-content> group than in the non\u2010incisional SSI<\/jats:styled-content> group (8 [6\u201012] vs 10 [8\u201019], P\u00a0<\/jats:italic><\u00a00.001). Incisional SSI<\/jats:styled-content> were significantly associated with five operative factors: blood loss (g) (P\u00a0<\/jats:italic><\u00a00.014), midline wound length (mm) (P\u00a0<\/jats:italic>=\u00a00.038), suture materials (P\u00a0<\/jats:italic>=\u00a00.014), suture technique (interrupted vs continuous mass closure, P\u00a0<\/jats:italic>=\u00a00.003), and organ\/space SSI<\/jats:styled-content> (P\u00a0<\/jats:italic>=\u00a00.041). Multivariate analysis showed that continuous mass closure (odds ratio 0.290; 95% confidence interval 0.101\u20100.831, P\u00a0<\/jats:italic>=\u00a00.021) was the only factor independently associated with the incidence of incisional SSI<\/jats:styled-content>.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Incidence of incisional SSI<\/jats:styled-content> was comparable to that in previous reports.<\/jats:bold> Continuous mass closure decreased the risk of incisional SSI<\/jats:styled-content> in elective Lap CR<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ags3.12229","type":"journal-article","created":{"date-parts":[[2019,1,11]],"date-time":"2019-01-11T11:49:39Z","timestamp":1547207379000},"page":"202-208","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Risk factors for incisional surgical site infection after elective laparoscopic colorectal 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