Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Mar 27, 2024; 16(3): 710-716
Published online Mar 27, 2024. doi: 10.4240/wjgs.v16.i3.710
Clinical observation of extraction-site incisional hernia after laparoscopic colorectal surgery
Bao-Hang Fan, Ke-Li Zhong, Li-Jin Zhu, Zhao Chen, Fang Li, Wen-Fei Wu
Bao-Hang Fan, Zhao Chen, Wen-Fei Wu, Second Clinical Medical College of Jinan University, Jinan University, Shenzhen 518020, Guangdong Province, China
Ke-Li Zhong, Fang Li, Department of Gastrointestinal Surgery, Shenzhen People’s Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen 518020, Guangdong Province, China
Li-Jin Zhu, Department of Radiation Oncology, Shenzhen People’s Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen 518020, Guangdong Province, China
Author contributions: Fan BH was responsible for investigation, writing of the original draft, formal analysis, data curation, and manuscript writing, review, and editing; Zhong KL was responsible for conceptualization, funding acquisition, methodology, project administration, and manuscript writing, review, and editing; Chen Z performed validation, formal analysis, and supervision; Zhu LJ performed supervision, formal analysis, validation, and data curation; Li F provided software, resources, and visualization; Wu WF provided software, resources, and formal analysis.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of Shenzhen People's Hospital.
Informed consent statement: Patients were apprised of their rights to informed consent and provided with a signed document during postoperative follow-up.
Conflict-of-interest statement: We have no financial relationships to disclose.
Data sharing statement: No additional data are available.
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: Ke-Li Zhong, PhD, Chief Doctor, Surgeon, Department of Gastrointestinal Surgery, Shenzhen People’s Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), No. 1017 Dongmen North Road, Luohu District, Shenzhen 518020, Guangdong Province, China. zhongkeli@126.com
Received: October 9, 2023
Peer-review started: October 9, 2023
First decision: December 12, 2023
Revised: December 17, 2023
Accepted: February 23, 2024
Article in press: February 23, 2024
Published online: March 27, 2024
ARTICLE HIGHLIGHTS
Research background

After laparoscopic colorectal cancer surgery, there is a risk of incisional hernia (IH) at the site where the tumor specimen was removed.

Research motivation

IH that occurs after laparoscopic colorectal cancer surgery affects the recovery of patients and causes a great burden to patients.

Research objectives

This study aimed to investigate the incidence of IH at extraction sites after laparoscopic colorectal cancer surgery and the risk factors affecting the incidence of IH.

Research methods

This study presents a retrospective analysis of medical records from 1614 patients who underwent radical colorectal cancer surgery at our center between January 2017 and the present. The focus is on examining the incidence rate of IH and factors influencing IH incidence.

Research results

The incidence of postoperative IH was higher in the off-midline incision group (8.8%) than in other groups [the supraumbilical midline (2.6%), infraumbilical midline (2.2%), and umbilical incision (2.9%) groups], and the difference was statistically significant (χ2 = 24.985; P < 0.05). Apart from the off-midline incision, factors such as age, female gender, obesity, incision infection, combined chronic cough, and hypoproteinemia were identified as independent risk factors for IH at the site of laparoscopic colorectal cancer surgical extraction.

Research conclusions

The incidence of postoperative IH at the extraction site varies across different laparoscopic colorectal cancer surgery sites, with the off-midline incision being avoided whenever possible. Apart from the off-midline incision, factors such as age, female gender, obesity, incision infection, combined chronic cough, and hypoproteinemia were identified as independent risk factors for IH at the site of laparoscopic colorectal cancer surgical extraction

Research perspectives

According to the results of this study, an off-midline incision should be avoided at the site where the tumor specimen is removed for subsequent colorectal cancer surgery.