The influence of laparoscopic and conventional surgical approaches on the development of surgical site infections in colon cancer

INTRODUCTION: Minimal invasive surgery techniques are getting more popular by surgeons relying their advantages such as pain control, feasibility and increased affinity. Both techniques have similar prognostic influence regarding survival in colon cancer but increased versatility of laparoscopy in years shows more tendency of laparoscopy among surgeons. This study aims to evaluate of surgical site infection (SSI) rates between conventional and laparoscopic colon cancer procedures.
METHODS: Patients operated due to colon adenocarcinoma between 2018 and 2023 evaluated. Emergency, palliative or incomplete resections excluded. Demographic, pathologic, peroperative and postoperative records of patients evaluated. Patients seperated into groups by SSI occurance and surgical method choice.
RESULTS: SSI development was found higher in conventional surgery group (30.0% vs 11.6%; p=0.013). In comparison of patients by SSI development; only intraoperative Red Blood Concentrate (RBC) replacement founded to be higher in SSI (+) group (0±1 vs 0±1; p=0.002). All variables associated with SSI development were subjected to univariate regression analysis. It’s shown that only conventional surgery choice was a indipendant risk factor for SSI development (OR: 3.489 (1.289 – 9.415); p=0.017).
DISCUSSION AND CONCLUSION: Laparoscopic colon surgery has better SSI rates than conventional colon surgery procedures. Our findings are similar with the general view on SSI ratio’s between two surgical practices.