Association between body composition and incisional surgical site infection after laparoscopic appendectomy for complicated appendicitis.

IF 1.6 3区医学 Q2 SURGERY BMC Surgery Pub Date : 2024-10-09 DOI:10.1186/s12893-024-02541-w

Peng Yin, Shigang Teng, Haifeng Li, Junping Wang, Zhongcheng Liu

{"title":"Association between body composition and incisional surgical site infection after laparoscopic appendectomy for complicated appendicitis.","authors":"Peng Yin, Shigang Teng, Haifeng Li, Junping Wang, Zhongcheng Liu","doi":"10.1186/s12893-024-02541-w","DOIUrl":null,"url":null,"abstract":"Purpose: Surgical site infection (SSI) is common after laparoscopic appendectomy, resulting in prolonged hospital stay and increased costs. This study examined the relationship between body composition parameters and risk of incisional SSI in patients with complicated appendicitis.Methods: We included 411 patients who underwent laparoscopic surgery for complicated appendicitis at a single institution between March 2015 and October 2023. Body composition parameters were derived from preoperative computed tomography (CT). A nomogram was constructed based on the independent predictors of incisional SSI.Results: Overall, 45 (10.9%) patients developed incisional SSI. Visceral fat area (VFA) was independently associated with risk of incisional SSI (hazard ratio 1.015, 95% confidence interval 1.010-1.020, P < 0.001). A nomogram integrating VFA and two other independent predictors (diabetes and conversion) demonstrated high discriminative (area under the curve = 0.793) and calibration abilities.Conclusions: CT-derived VFA could be a valuable predictor of incisional SSI in patients with complicated appendicitis undergoing laparoscopic surgery. A VFA-based nomogram may help in identifying patients at high risk of SSI.","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"24 1","pages":"297"},"PeriodicalIF":1.6000,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11462668/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12893-024-02541-w","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: Surgical site infection (SSI) is common after laparoscopic appendectomy, resulting in prolonged hospital stay and increased costs. This study examined the relationship between body composition parameters and risk of incisional SSI in patients with complicated appendicitis.

Methods: We included 411 patients who underwent laparoscopic surgery for complicated appendicitis at a single institution between March 2015 and October 2023. Body composition parameters were derived from preoperative computed tomography (CT). A nomogram was constructed based on the independent predictors of incisional SSI.

Results: Overall, 45 (10.9%) patients developed incisional SSI. Visceral fat area (VFA) was independently associated with risk of incisional SSI (hazard ratio 1.015, 95% confidence interval 1.010-1.020, P < 0.001). A nomogram integrating VFA and two other independent predictors (diabetes and conversion) demonstrated high discriminative (area under the curve = 0.793) and calibration abilities.

Conclusions: CT-derived VFA could be a valuable predictor of incisional SSI in patients with complicated appendicitis undergoing laparoscopic surgery. A VFA-based nomogram may help in identifying patients at high risk of SSI.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

腹腔镜阑尾切除术治疗复杂性阑尾炎后身体成分与切口手术部位感染的关系。

目的：腹腔镜阑尾切除术后常见手术部位感染（SSI），导致住院时间延长和费用增加。本研究探讨了复杂性阑尾炎患者身体成分参数与切口 SSI 风险之间的关系：我们纳入了 2015 年 3 月至 2023 年 10 月期间在一家机构接受腹腔镜手术治疗复杂性阑尾炎的 411 名患者。身体成分参数来自术前计算机断层扫描（CT）。根据切口SSI的独立预测因素构建了一个提名图：共有 45 例（10.9%）患者出现切口 SSI。内脏脂肪面积（VFA）与切口感染 SSI 的风险独立相关（危险比为 1.015，95% 置信区间为 1.010-1.020，P 结论：CT 导出的内脏脂肪面积对切口感染 SSI 有一定的预测价值：在接受腹腔镜手术的复杂性阑尾炎患者中，CT 导出的 VFA 可作为切口 SSI 的重要预测指标。基于 VFA 的提名图有助于识别 SSI 高风险患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊