Hospital Fray Bernardino Alvarez, Ciudad de México, México.

Background The research that determined historical rates of surgical infection following cholecystectomy was conducted before the widespread use of laparoscopy and prophylactic antibiotics nowadays. In "low-risk" elective, outpatient, laparoscopic cholecystectomies, infections have been found to occur at considerably lower rates, according to more recent investigations. In a comprehensive U.S. database, we looked into the current prevalence of postoperative infections in these instances. Methods From the 2016–2017 American College of Surgeons National Surgical Quality Improvement Program database, we looked back at elective laparoscopic cholecystectomies. Postoperative surgical site infection was our main result, and Clostridium difficile infection was a close second. Logistic models assessed the relationships between these outcomes and patient and procedure factors. Results 1.0% of surgical infections (293/30,579) occurred. C difficile infection affected 0.1% of people (31 cases). No variables were substantially linked with C difficile infection in our adjusted multivariable models, however other/unknown race/ethnicity, diabetes, hypertension, smoking, American Society of Anesthesiologists >2, operating minutes, and wound class 4 were. Conclusions The incidence of infection following an elective laparoscopic cholecystectomy is extremely low and comparable to clean cases in the context of contemporary U.S. surgical practise. Our research uncovered a number of patient traits that were highly related to postoperative infection. Many of these may help to identify persons who are more at risk for this uncommon complication even if they are not all considered risk factors in the current recommendations for antibiotic prophylaxis.

Global surgery, Outcomes, West Africa, Missions

Kelipe Machado. Extremely Low Postoperative Infection Risk Associated with Elective Laparoscopic Cholecystectomy. Insights Journal of Surgery and Clinical Case Reports 2020.