TY - JOUR T1 - Increased Transumbilical Incision Complication Rates With Laparoscopic Colorectal Resection: A Single-center Propensity Score-matched Cohort Study JF - Anticancer Research JO - Anticancer Res SP - 1115 LP - 1121 DO - 10.21873/anticanres.15574 VL - 42 IS - 2 AU - KODAI TOMIOKA AU - TAKESHI AOKI AU - MAKOTO WATANABE AU - YUTA ENAMI AU - AKIRA FUJIMORI AU - TOMOTAKE KOIZUMI AU - SATORU GOTO AU - KIMIYASU YAMAZAKI AU - KOJI OTSUKA AU - MASAHIKO MURAKAMI Y1 - 2022/02/01 UR - http://ar.iiarjournals.org/content/42/2/1115.abstract N2 - 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. ER -