Infectious Complications in Laparoscopic Gynecologic Oncology Surgery within an ERAS-Compliant Setting

Author:

Capozzi Vito Andrea1ORCID,De Finis Alessandra1ORCID,Scarpelli Elisa1,Gallinelli Asya1,Monfardini Luciano1,Cianci Stefano2ORCID,Gulino Ferdinando Antonio3ORCID,Rotondella Isabella1,Celora Gabriella Maria1,Martignon Giulia1ORCID,Ghi Tullio1,Berretta Roberto1ORCID

Affiliation:

1. Department of Medicine and Surgery, University Hospital of Parma, 43125 Parma, Italy

2. Unit of Gynecology and Obstetric, Department of Human Pathology of Adult and Childhood “G. Barresi”, University of Messina, 98125 Messina, Italy

3. Unit of Gynecology and Obstetrics, Department of Human Pathology of Adults and Developmental Age, University Hospital “G. Martino”, 98100 Messina, Italy

Abstract

Minimally Invasive Surgery (MIS) represents a safe and feasible option for the surgical treatment of gynecologic malignancies, offering benefits, including reduced blood loss, lower complications, and faster recovery, without compromising oncological outcomes in selected patients. MIS is widely accepted in early-stage gynecologic malignancies, including endometrial cancer, cervical tumors measuring 2 cm or less, and early-stage ovarian cancer, considering the risk of surgical spillage. Despite its advantages, MIS does not rule out the possibility of adverse events such as postoperative infections. This retrospective study on 260 patients undergoing laparoscopic surgery at Parma University Hospital for gynecologic malignancies explores the incidence and risk factors of postoperative infectious complications. The Clavien-Dindo classification was used to rank postoperative surgical complications occurring 30 days after surgery and Enhanced Recovery After Surgery (ERAS) recommendations put into practice. In our population, 15 (5.8%) patients developed infectious complications, predominantly urinary tract infections (9, 3.5%). Longer surgical procedures were independently associated with higher postoperative infection risk (p = 0.045). Furthermore, C1 radical hysterectomy correlated significantly with infectious complications (p = 0.001, OR 3.977, 95% CI 1.370–11.544). In conclusion, compared to prior research, our study reported a lower rate of infectious complications occurrence and highlights the importance of adopting infection prevention measures.

Publisher

MDPI AG

Subject

Medicine (miscellaneous)

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