Significance of perioperative microbiological examination in hepatobiliary and pancreatic surgery

Abstract

Hepatobiliary and pancreatic surgery often involve excessively invasive surgery such as extensive hepatectomy and pancreaticoduodenectomy. Furthermore, the risk of infectious complications such as having a damaged liver in the background and bile contamination during biliary tract reconstruction is generally considered to be high. Perioperative culture results are helpful in preventing the onset of surgical site infection (SSI), which is the most common postoperative infection, and in using appropriate antibiotics when it does occur. The use of preventive antibacterial agents based on the results of various cultures obtained before surgery and the perioperative management that fully utilizes the information obtained from the drainage effluent culture indwelled at the time of surgery prevent SSI and develop it. It is necessary to avoid the seriousness of the disease.