J Korean Surg Soc.  1997 Jan;52(1):94-99.

Analysis of Infection after Hepatic Resection: Risk factors and Infection rates

• Joo SH
• Lee YJ
• Nam CW
• Park KM
• Lee SK
• Min PC

Abstract

A prospective study was made of 68 patients with liver resection. We used the modified CDC(Centers for Disease Control) definition of surgical wound infection. The Infection rate after hepatic resection was 27.9%. The intraabdominal infection rate was 17.2%, the wound infection rate was 16.2% and the respiratory infection was 4.4%. The relationship between risk factors-primary disease, transfusion amount, the duration of operation, liver cirrhosis, Diabetes mellitus and the amount of hepatic resection - and the infection rate was analysed. An increase in the rate of infection occurred in hepatolithiasis patients. An increase in the rate of infection didn't occur in patients group with a 3 day duration of prophylactic antibiotics. We conclude that the 3 day duration of prophylactic antibiotic after hepatic resection was enough. Surgeon should take the bile for bacteriological study and irrigate meticulously the surgical wound in hepatolithiasis patients.

Keyword

Liver resection; Infection; Risk factors; Antibiotics

MeSH Terms

Anti-Bacterial Agents
Bile
Diabetes Mellitus
Humans
Intraabdominal Infections
Liver
Liver Cirrhosis
Prospective Studies
Risk Factors*
Surgical Wound Infection
Wound Infection
Wounds and Injuries
Anti-Bacterial Agents