Risk factors for delayed perineal wound healing and its impact on prolonged hospital stay after abdominoperineal resection

Autor: Chu-Cheng Chang, Yuan-Tzu Lan, Jeng-Kai Jiang, Shih-Ching Chang, Shung-Haur Yang, Chun-Chi Lin, Hung-Hsin Lin, Huann-Sheng Wang, Wei-Shone Chen, Tzu-Chen Lin, Jen-Kou Lin
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: World Journal of Surgical Oncology, Vol 17, Iss 1, Pp 1-7 (2019)
Druh dokumentu: article
ISSN: 1477-7819
DOI: 10.1186/s12957-019-1768-4
Popis: Abstract Background Perineal wound complications are a long-lasting issue for abdominoperineal resection (APR) patients. Complication rates as high as 60% have been reported, with the most common complication being delayed perineal wound healing. The aim of this study was to identify risk factors for delayed perineal wound healing and its impact on prolonged hospital stay. Methods We included low rectal tumor patients who underwent APR at a referral medical center from April 2002 to December 2017; a total of 229 patients were included. The basic characteristics and surgical outcomes of the patients were analyzed to identify risk factors for delayed perineal wound healing (> 30 days after APR) and prolonged hospital stay (post-APR hospital stay > 14 days). Results All patients received primary closure for their perineal wound. The majority of patients were diagnosed with adenocarcinoma (N = 213, 93.1%). In the univariate analysis, patients with hypoalbuminemia (albumin
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