Risk Factors for Wound Infection After Laparoscopic Surgery for Colon Cancer

OBJECTIVE: To clarify risk factors for wound infection after laparoscopic surgery for colon cancer. SUBJECTS AND METHODS: The study group comprised 1144 patients. Univariate and multivariate analyses were performed to assess the following 14 postoperative risk factors for wound infection. RESULTS: Univariate analysis showed that the following 4 risk factors were related to wound infection: tumor location right-sided colon cancer, a preoperative serum albumin level of ≤2.5 g/dL, anastomotic technique [functional end-to-end anastomosis (FEEA)], and sutures used at the time of wound closure non–polydioxanone sutures (PDS)-Plus. Multivariate analysis indicated that 3 factors were independent risk factors for wound infection: a preoperative serum albumin level of ≤2.5 g/dL, FEEA, and the use of non-PDS-Plus sutures wound closure. CONCLUSIONS: Risk factors for wound infection after laparoscopic surgery for colon cancer were a preoperative serum albumin level of ≤2.5 g/dL, FEEA, and the use of non-PDS-Plus sutures.