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Surgery Today

, Volume 49, Issue 2, pp 170–175 | Cite as

Adverse oncological outcome of surgical site infection after liver resection for colorectal liver metastases

  • Yasuyuki FukamiEmail author
  • Atsuyuki Maeda
  • Yuichi Takayama
  • Takamasa Takahashi
  • Masahito Uji
  • Yuji Kaneoka
Original Article
  • 112 Downloads

Abstract

Purposes

Postoperative complications are associated with poor overall and cancer-specific survival after resection of various types of cancer, including primary colorectal cancer. However, the oncological impact of surgical site infection (SSI) after liver resection for colorectal liver metastases (CLM) is unclear. The aim of this study was to investigate the oncological impact of SSI after liver resection for CLM.

Methods

We reviewed data from 367 consecutive patients treated by curative liver resection for CLM between 1994 and 2015. Patients who underwent simultaneous resection of colorectal cancer and synchronous liver metastases (n = 86) were excluded from the analysis. Short- and long-term outcomes were analyzed.

Results

SSI developed in 18 (6.4%) of the 281 patients in the analytic cohort (SSI group). The remaining 93.6% (n = 263) did not suffer this complication (no-SSI group). The operative duration was significantly longer in the SSI group than in the No-SSI group (p = 0.002). The overall survival rates 5 years after liver resection for CLM were 33.3% in the SSI group vs. 50.7% in the No-SSI group (p = 0.043). Multivariate analysis indicated that a liver tumor size ≥ 5 cm, R1 resection, and SSI were independently associated with overall survival after liver resection.

Conclusions

SSI after liver resection for CLM is associated with adverse oncological outcomes.

Keywords

Surgical site infection Postoperative morbidity Liver resection Colorectal liver metastases Survival 

Notes

Compliance with ethical standards

Conflict of interest

We have no conflicts of interest to disclose.

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Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  • Yasuyuki Fukami
    • 1
    Email author
  • Atsuyuki Maeda
    • 1
  • Yuichi Takayama
    • 1
  • Takamasa Takahashi
    • 1
  • Masahito Uji
    • 1
  • Yuji Kaneoka
    • 1
  1. 1.Department of SurgeryOgaki Municipal HospitalOgakiJapan

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