Liu F, Luo XJ, Li ZW, Liu XY, Liu XR, Lv Q, Shu XP, Zhang W, Peng D. Early postoperative complications after transverse colostomy closure, a retrospective study. World J Gastrointest Surg 2024; 16(3): 807-815 [PMID: 38577084 DOI: 10.4240/wjgs.v16.i3.807]
Corresponding Author of This Article
Dong Peng, FAASLD, Academic Editor, Department of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Yuanjiagang, Yuzhong District, Chongqing 400016, China. carry_dong@126.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Clinical Trials Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Fei Liu, Zi-Wei Li, Xiao-Yu Liu, Xu-Rui Liu, Quan Lv, Xin-Peng Shu, Wei Zhang, Dong Peng, Department of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Xiao-Juan Luo, Endoscopy Center, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400012, China
Co-first authors: Fei Liu and Xiao-Juan Luo.
Author contributions: Liu F and Luo XJ were co-first authors; Luo XJ was thanked for her significant contribution in revising the manuscript; All the authors agreed that Luo XJ was the co-first author; All authors contributed to data collection and analysis, drafting or revising the manuscript, have agreed on the journal to which the manuscript will be submitted, gave final approval of the version to be published, and agree to be accountable for all aspects of the work.
Institutional review board statement: The ethics committee of the First Affiliated Hospital of Chongqing Medical University approved this study, No. K2024-008-01.
Clinical trial registration statement: We don’t need URL registration.
Informed consent statement: Because the data used in this study were obtained from public databases, we applied for a waiver of informed consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The datasets used and analyzed during the current study are available from the corresponding author on reasonable request at carry_dong@126.com.
CONSORT 2010 statement: The authors have read the CONSORT 2010 statement, and the manuscript was prepared and revised according to the CONSORT 2010 statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dong Peng, FAASLD, Academic Editor, Department of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Yuanjiagang, Yuzhong District, Chongqing 400016, China. carry_dong@126.com
Received: October 24, 2023 Peer-review started: October 24, 2023 First decision: December 15, 2023 Revised: January 13, 2024 Accepted: February 7, 2024 Article in press: February 7, 2024 Published online: March 27, 2024 Processing time: 150 Days and 9.1 Hours
Abstract
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.
Core Tip: The current study was conducted to analyze the complications after transverse colostomy closure. A total of 102 patients who underwent transverse colostomy closure were enrolled in the current study. The complication group had longer hospital stay. However, no potential risk factor was identified for overall complications and incision infection. The most frequent complication occurring after transverse colostomy closure surgery in our center was incision infection. Operation time, interval from transverse colostomy to reversal and methods of anastomosis might have no impact on the postoperative complications. Surgeons should pay more attention to aseptic techniques.
