title: Relationship between functional end-to-end anastomosis for colon cancer and surgical site infections.
abstract: OBJECTIVE
  Surgical site infections (SSI) are a common complication of gastrointestinal tract surgery. In this study, we explored the correlation between the anastomosis method and the incidence of SSI.
  
  
  METHODS
  A total of 110 patients underwent ileocecal resection or right hemicolectomy for the excision of colon cancer. Two methods (open and closed, 28 and 82 patients, respectively) of functional end-to-end anastomosis were adopted.
  
  
  RESULTS
  Increased perioperative blood loss (p = 0.029214), a longer hospital stay (p = 0.026668) and the development of SSI (p = 0.000181) were significantly correlated with the open method. There was no correlation between SSI and the body mass index, or between SSI and the length of the surgery or diabetes mellitus. However, patients that developed SSI tended to be obese.
  
  
  CONCLUSIONS
  The open method was associated with a higher incidence of SSI. Therefore, it is necessary to consider potential contamination of the surgical field at the time of anastomosis to reduce the incidence of SSI.
authors.affiliation: Department of Gastroenterological Surgery, Gunma Prefectural Cancer Center, 617-1 Takabayashi-Nishi, Ota, Gunma, 373-8550, Japan. hiojima@gunma-cc.jp.
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Ojima
authors.affiliation: Department of Gastroenterological Surgery, Gunma Prefectural Cancer Center, 617-1 Takabayashi-Nishi, Ota, Gunma, 373-8550, Japan.
authors.forename: Makoto
authors.initials: M
authors.lastname: Sohda
authors.affiliation: Department of Gastroenterological Surgery, Gunma Prefectural Cancer Center, 617-1 Takabayashi-Nishi, Ota, Gunma, 373-8550, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Ando
authors.affiliation: Department of Gastroenterological Surgery, Gunma Prefectural Cancer Center, 617-1 Takabayashi-Nishi, Ota, Gunma, 373-8550, Japan.
authors.forename: Akihiko
authors.initials: A
authors.lastname: Sano
authors.affiliation: Department of Gastroenterological Surgery, Gunma Prefectural Cancer Center, 617-1 Takabayashi-Nishi, Ota, Gunma, 373-8550, Japan.
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Fukai
authors.affiliation: Department of Gastroenterological Surgery, Gunma Prefectural Cancer Center, 617-1 Takabayashi-Nishi, Ota, Gunma, 373-8550, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Ogawa
authors.affiliation: Department of Gastroenterological Surgery, Gunma Prefectural Cancer Center, 617-1 Takabayashi-Nishi, Ota, Gunma, 373-8550, Japan.
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Mochida
authors.affiliation: Department of General Surgical Science, Gunma University Faculty of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kuwano
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000295:instrumentation / Q000379:methods*; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D003110:Colonic Neoplasms / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods; D004866:Equipment Contamination / Q000517:prevention & control; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D009765:Obesity; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000453:epidemiology* / Q000209:etiology* / Q000517:prevention & control
keywords: Colon cancer; Functional end-to-end anastomosis; Surgical site infection