Published online Mar 27, 2024. doi: 10.4240/wjgs.v16.i3.710
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
Processing time: 165 Days and 3.2 Hours
After laparoscopic colorectal cancer surgery, there is a risk of incisional hernia (IH) at the site where the tumor specimen was removed.
IH that occurs after laparoscopic colorectal cancer surgery affects the recovery of patients and causes a great burden to patients.
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.
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.
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 statis
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
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.