Early postoperative complications after transverse colostomy closure, a retrospective study

作者全名：Liu, Fei; Luo, Xiao-Juan; Li, Zi-Wei; Liu, Xiao-Yu; Liu, Xu-Rui; Lv, Quan; Shu, Xin-Peng; Zhang, Wei; Peng, Dong

作者地址：[Liu, Fei; Li, Zi-Wei; Liu, Xiao-Yu; Liu, Xu-Rui; Lv, Quan; Shu, Xin-Peng; Zhang, Wei; Peng, Dong] Chongqing Med Univ, Dept Gastrointestinal Surg, Affiliated Hosp 1, Chongqing 400016, Peoples R China; [Luo, Xiao-Juan] Chongqing Med Univ, Endoscopy Ctr, Affiliated Hosp 1, Chongqing 400012, Peoples R China; [Peng, Dong] Chongqing Med Univ, Affiliated Hosp 1, Dept Gastrointestinal Surg, 1 Youyi Rd, Chongqing 400016, Peoples R China

通信作者：Peng, D (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Dept Gastrointestinal Surg, 1 Youyi Rd, Chongqing 400016, Peoples R China.

来源：WORLD JOURNAL OF GASTROINTESTINAL SURGERY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001198258900023

JCR分区：Q2

影响因子：1.8

年份：2024

卷号：16

期号：3

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结束页：　

文献类型：Article

关键词：Transverse colostomy closure; Surgery; Complications; A single clinical centre; Risk factors

摘要：BACKGROUND Ostomy is a common surgery usually performed to protect patients from clinical symptoms caused by distal anastomotic leakage after colorectal cancer (CRC) surgery and perforation or to relieve intestinal obstruction. AIM To analyze the complications after transverse colostomy closure. METHODS Patients who underwent transverse colostomy closure from Jan 2015 to Jan 2022 were retrospectively enrolled in a single clinical center. The differences between the complication group and the no complication group were compared. Logistic regression analyses were conducted to find independent factors for overall complications or incision infection. RESULTS A total of 102 patients who underwent transverse colostomy closure were enrolled in the current study. Seventy (68.6%) patients underwent transverse colostomy because of CRC related causes. Postoperative complications occurred in 30 (29.4%) patients and the most frequent complication occurring after transverse colostomy closure was incision infection (46.7%). The complication group had longer hospital stays (P < 0.01). However, no potential risk factors were identified for overall complications and incision infection. CONCLUSION The most frequent complication occurring after transverse colostomy closure surgery in our center was incision infection. The operation time, interval from transverse colostomy to reversal, and method of anastomosis might have no impact on the postoperative complications. Surgeons should pay more attention to aseptic techniques.

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