Published online Mar 27, 2024. doi: 10.4240/wjgs.v16.i3.807
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
Previous studies comparing the incidence of postoperative complications in patients with ileostomy and colostomy closure have found that patients undergoing colostomy closure are more likely to experience complications. Most of the studies reporting post-colonostomy complications were conducted at the end of the last century with relatively small sample sizes.
At present, colostomy, especially transverse colostomy, is still a common type of colostomy.
The aim of this study was to analyze complications after transverse colostomy closure and to identify risk factors associated with complications.
This article used a retrospective study method to include 102 patients at a single clinical centre. 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.
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 colorectal cancer 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.
Finally, we found that the most common complication after colostomy closure was wound infection. Operation time, time interval between transverse colostomy and reversal, and anastomosis method had no effect on postoperative complications.
The study will conduct to analyze the overall survival after transverse colostomy closure.