PURPOSE: The purpose of this study was to examine the efficacy of skin closure with subcuticular sutures for the prevention of wound infection after colorectal cancer resection. METHODS: Medical records of 1008 patients with colorectal cancer who underwent resection between 2006 and 2013 were reviewed. Patients were divided into two groups based on skin closure method: the subcuticular suture group (n = 323) and the staple group (n = 685). The incidence of wound infection was compared with and without propensity score matching, and multivariate analysis was performed to identify risk factors for wound infection. RESULTS: The incidence of wound infection was 3.1 % (10/323) in the subcuticular suture group and 10.4 % (71/685) in the staple group. After propensity score matching, the incidence of wound infection was significantly lower in the subcuticular suture group (4.6 %, 9/197) than in the staple group (12.2 %, 24/197) (p = 0.004). In the propensity score-matched cohort, multivariate analysis identified advanced age (odds ratio [OR], 1.07; 95 % confidence interval [CI], 1.03-1.12), higher preoperative body mass index (OR, 1.19; 95 % CI, 1.07-1.33), lower preoperative serum albumin (OR, 0.45; 95 % CI, 0.22-0.91), open surgery (OR, 3.28; 95 % CI, 1.38-8.49), and skin closure with staples (OR, 3.21; 95 % CI, 1.43-7.81) as independent risk factors for wound infection. CONCLUSIONS: Our results suggest that subcuticular suturing could be beneficial after colorectal cancer surgery.
PURPOSE: The purpose of this study was to examine the efficacy of skin closure with subcuticular sutures for the prevention of wound infection after colorectal cancer resection. METHODS: Medical records of 1008 patients with colorectal cancer who underwent resection between 2006 and 2013 were reviewed. Patients were divided into two groups based on skin closure method: the subcuticular suture group (n = 323) and the staple group (n = 685). The incidence of wound infection was compared with and without propensity score matching, and multivariate analysis was performed to identify risk factors for wound infection. RESULTS: The incidence of wound infection was 3.1 % (10/323) in the subcuticular suture group and 10.4 % (71/685) in the staple group. After propensity score matching, the incidence of wound infection was significantly lower in the subcuticular suture group (4.6 %, 9/197) than in the staple group (12.2 %, 24/197) (p = 0.004). In the propensity score-matched cohort, multivariate analysis identified advanced age (odds ratio [OR], 1.07; 95 % confidence interval [CI], 1.03-1.12), higher preoperative body mass index (OR, 1.19; 95 % CI, 1.07-1.33), lower preoperative serum albumin (OR, 0.45; 95 % CI, 0.22-0.91), open surgery (OR, 3.28; 95 % CI, 1.38-8.49), and skin closure with staples (OR, 3.21; 95 % CI, 1.43-7.81) as independent risk factors for wound infection. CONCLUSIONS: Our results suggest that subcuticular suturing could be beneficial after colorectal cancer surgery.
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