The clinical outcome of laparoscopic colectomy using preoperative bowel preparation and oral antibiotics

Abstract

It has been suggested that adding oral antibiotics (OAB) to preoperative mechanical bowel preparation (MBP) (OAMBP=MBP+OAB) has prophylactic effects for surgical site infection (SSI). This paper reports the current situation of SSI in laparoscopic colectomy through OAMBP at our department. Methods: SSIs observed is 2,003 patients who underwent elective laparoscopic colectomy with OAMBP at our department during the period from 2013 to 2017 were examined. Results: SSI was observed in 1.9％ of overall colon surgeries (22/1,184) and 7.4％ in overall rectal surgeries (61/819). Wound infections were observed in 1.8％ of colon surgeries (21/1,184) and 3.7％ of rectal surgeries (30/819). Anastomotic failure was observed in 0.1％ of colon surgeries (1/1,146) and in 4.0％ of rectal surgeries (30/753). Intra-abdominal abscess was observed in 0.1％ of rectal surgeries (1/819). Wound infection from abdominoperineal resection (APR) was observed in 36.7％ (18/49). SSI in rectal surgeries except for APR was observed in 5.5％ (42/770). The incidence rate of SSI in laparoscopic colectomy was low, and control through OAMBP was favorable. However, results suggested that further research into, and the improvement of, SSI in APR are required.