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
Processing time: 150 Days and 9.1 Hours
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.
To analyze the complications after transverse colostomy closure.
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.
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.
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.