Your browser doesn't support javascript.
loading
Rate of Organ Space Infection Is Reduced with the Use of an Air Leak Test During Major Hepatectomies.
Tran Cao, H S; Phuoc, V; Ismael, H; Denbo, J W; Passot, G; Yamashita, S; Conrad, C; Aloia, T A; Vauthey, J N.
Afiliación
  • Tran Cao HS; Division of Surgical Oncology, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, 2002 Holcombe Blvd., OCL 112, Houston, TX, 77030, USA. hop.trancao@bcm.edu.
  • Phuoc V; Department of Surgical Oncology, U.T. MD Anderson Cancer Center, Houston, TX, USA.
  • Ismael H; Department of Surgical Oncology, U.T. MD Anderson Cancer Center, Houston, TX, USA.
  • Denbo JW; Department of Surgical Oncology, U.T. MD Anderson Cancer Center, Houston, TX, USA.
  • Passot G; Department of Surgical Oncology, U.T. MD Anderson Cancer Center, Houston, TX, USA.
  • Yamashita S; Department of Surgical Oncology, U.T. MD Anderson Cancer Center, Houston, TX, USA.
  • Conrad C; Department of Surgical Oncology, U.T. MD Anderson Cancer Center, Houston, TX, USA.
  • Aloia TA; Department of Surgical Oncology, U.T. MD Anderson Cancer Center, Houston, TX, USA.
  • Vauthey JN; Department of Surgical Oncology, U.T. MD Anderson Cancer Center, Houston, TX, USA.
J Gastrointest Surg ; 21(1): 85-93, 2017 01.
Article en En | MEDLINE | ID: mdl-27496092
BACKGROUND: Organ/space surgical site infections (OSIs) constitute an important postoperative metric. We sought to assess the impact of a previously described air leak test (ALT) on the incidence of OSI following major hepatectomies. METHODS: A single-institution hepatobiliary database was queried for patients who underwent a major hepatectomy without biliary-enteric anastomosis between January 2009 and June 2015. Demographic, clinicopathologic, and intraoperative data-including application of ALT-were analyzed for associations with postoperative outcomes, including OSI, hospital length of stay (LOS), morbidity and mortality rates, and readmission rates. RESULTS: Three hundred eighteen patients were identified who met inclusion criteria, of whom 210 had an ALT. ALT and non-ALT patients did not differ in most disease and treatment characteristics, except for higher rates of trisegmentectomy among ALT patients (53 vs. 34 %, p = 0.002). ALT patients experienced lower rates of OSI and 90-day morbidity than non-ALT patients (5.2 vs. 13.0 %, p = 0.015 and 24.8 vs. 40.7 %, p = 0.003, respectively). In turn, OSI was the strongest independent predictor of longer LOS (OR = 4.89; 95 % CI, 2.80-6.97) and higher rates of 30- (OR = 32.0; 95 % CI, 10.9-93.8) and 45-day readmissions (OR = 29.4; 95 % CI, 10.2-84.6). CONCLUSIONS: The use of an intraoperative ALT significantly reduces the rate of OSI following major hepatectomy and may contribute to lower post-discharge readmission rates.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infección de la Herida Quirúrgica / Hepatectomía / Complicaciones Intraoperatorias Tipo de estudio: Etiology_studies / Prognostic_studies Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J Gastrointest Surg Asunto de la revista: GASTROENTEROLOGIA Año: 2017 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infección de la Herida Quirúrgica / Hepatectomía / Complicaciones Intraoperatorias Tipo de estudio: Etiology_studies / Prognostic_studies Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J Gastrointest Surg Asunto de la revista: GASTROENTEROLOGIA Año: 2017 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos