Early postoperative complications after transverse colostomy closure,a retrospective study  

作　　者：Fei Liu Xiao-Juan Luo Zi-Wei Li Xiao-Yu Liu Xu-Rui Liu Quan Lv Xin-Peng Shu Wei Zhang Dong Peng 

机构地区：[1]Department of Gastrointestinal Surgery,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China [2]Endoscopy Center,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400012,China

出　　处：《World Journal of Gastrointestinal Surgery》2024年第3期807-815,共9页世界胃肠外科杂志（英文版）（电子版）

基　　金：The ethics committee of the First Affiliated Hospital of Chongqing Medical University approved this study,No.K2024-008-01.

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.

关 键 词：Transverse colostomy closure Surgery COMPLICATIONS A single clinical centre Risk factors 

分 类 号：R657.4[医药卫生—外科学]