{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T12:38:29Z","timestamp":1781872709424,"version":"3.54.5"},"reference-count":22,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T00:00:00Z","timestamp":1749600000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Incisional hernia (IH) is a common postoperative complication after abdominal surgery, but its predictors and impact on prognosis remain unclear in gastrointestinal (GI) and hepatopancreaticobiliary (HPB) cancer patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analyzed 505 patients who underwent elective tumor resection for GI and HPB malignancies at two institutions (2018-2021).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The overall incidence rate of IH within 2\u00a0years after surgery was 15.6% (79\/505). We divided the patients into two groups: those who developed IH (IH group) and those who did not (non-IH group). Multivariate analysis identified higher body mass index (BMI) (odds ratio [OR]: 1.19[1.11-1.27],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), occurrence of wound infection (OR: 4.55[1.50-12.72],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.007), lower albumin level (OR: 1.75[1.04-2.94],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.04), and advanced cancer stage (OR: 1.38[1.02-1.87],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.04) as significant risk factors for IH. Patients in the IH group had shorter overall survival than those in the non-IH group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings underscore the importance of being cautious regarding the risk of postoperative IH in patients with higher BMI, low serum albumin level, and advanced stage cancer and of taking preventive care measures against postoperative wound infection. Patients who develop IH may have poorer long-term outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348251350991","type":"journal-article","created":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T17:19:14Z","timestamp":1749662354000},"page":"2120-2128","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Risk Factors for Postoperative Incisional Hernia and Its Effects on Long-Term Outcomes After Gastrointestinal and Hepatopancreaticobiliary Cancer Surgery"],"prefix":"10.1177","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0322-4299","authenticated-orcid":false,"given":"Ayato","family":"Obana","sequence":"first","affiliation":[{"name":"International University of Health and Welfare"},{"name":"Kashiwa Kousei General 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