@article {TOMIOKA1115, author = {KODAI TOMIOKA and TAKESHI AOKI and MAKOTO WATANABE and YUTA ENAMI and AKIRA FUJIMORI and TOMOTAKE KOIZUMI and SATORU GOTO and KIMIYASU YAMAZAKI and KOJI OTSUKA and MASAHIKO MURAKAMI}, title = {Increased Transumbilical Incision Complication Rates With Laparoscopic Colorectal Resection: A Single-center Propensity Score-matched Cohort Study}, volume = {42}, number = {2}, pages = {1115--1121}, year = {2022}, doi = {10.21873/anticanres.15574}, publisher = {International Institute of Anticancer Research}, abstract = {Aim: To evaluate the complication rates and risk factors associated with transumbilical incision (TUI) and comprehensively examine differences according to the procedures using propensity score matching. Patients and Methods: The study involved 737 patients who underwent laparoscopic procedures between 2009 and 2017 (Japanese University-Hospital-Medical-Information-Network Clinical Trials Resistry No. 000040653). The occurrences of superficial surgical site infection (SSI) and TUI hernia were analyzed. Results: SSI occurred in 17 patients (2.31\%) and hernia occurred in 29 (3.93\%). Multivariate analysis revealed that female sex and diabetes mellitus were correlated with incisional hernia. Propensity score-matching analysis was performed to compare those who underwent colorectal resection with those who underwent other resections; the results showed that the former had a significantly higher rate of TUI hernia (p\<0.001), as well as a significantly higher incidence of SSI (p=0.004). Conclusion: A significant higher incidence of SSI and TUI hernia in laparoscopic colorectal resection was found. The construction of the TUI was feasible with rationality.}, issn = {0250-7005}, URL = {https://ar.iiarjournals.org/content/42/2/1115}, eprint = {https://ar.iiarjournals.org/content/42/2/1115.full.pdf}, journal = {Anticancer Research} }