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March 29, 2026Medical Science Monitor0 citationsOpen Access

Evaluation of Risk Factors for Postoperative Infection in 176 Patients Undergoing Laparoscopic Cholecystectomy at a Single Center

JLJ. Y. LIUYWYì Wáng

Key Points

  • This study evaluates the risk factors contributing to postoperative infections following laparoscopic cholecystectomy. The aim is to identify significant patient-related and perioperative-related variables.
  • Conducted a retrospective analysis of 176 patients undergoing laparoscopic cholecystectomy.
  • Evaluated demographic, comorbidity, and perioperative data.
  • Defined postoperative infection based on guidelines and categorized patients into infected and non-infected groups.
  • Used chi-squared tests and t-test for group comparison, applying multivariate logistic regression to identify independent risk factors.
  • 19.9% of patients developed postoperative infections.
  • Identified independent risk factors include: age 60 years or older, hypertension, diabetes, gallbladder stones, acute gallbladder inflammation, delayed surgery, prolonged operation time, drainage retention time, and low preoperative serum albumin.

Abstract

Background:Laparoscopic cholecystectomy (LC) has become the standard minimally invasive treatment for benign gallbladder diseases worldwide; however, postoperative infections remain a clinically significant complication requiring further investigation of patient-related and perioperative-related risk factors.This study aimed to evaluate risk factors for postoperative infection in 176 patients undergoing LC. Material/Methods:In this single-center retrospective study, 176 consecutive patients who underwent LC between June 2023 and May 2025 were included.Postoperative infection was defined according to the Chinese Guidelines for the Prevention of Surgical Site Infection.Patients were divided into infected (n=35) and noninfected (n=141) groups.Demographic characteristics, comorbidities, perioperative variables, and preoperative serum albumin levels were collected.Group differences were compared using c 2 tests or independent-samples t tests, and variables with P72 hours, operation time >2 hours, postoperative drainage tube retention time >5 days, and decreased preoperative albumin were independent risk factors for postoperative infection (all P<0.05). Conclusions:In patients undergoing LC, older age, cardiometabolic comorbidities, gallbladder pathology, and several modifiable perioperative factors, including delayed surgery, prolonged operation and drainage, and low serum ALB, are associated with an increased risk of postoperative infection.Early optimization of these factors may help reduce postoperative infections and improve outcomes.

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Cite This Study

LIU et al. (2026) studied this question.

synapsesocial.com/papers/69c8c15ade0f0f753b39bcb9https://doi.org/10.12659/msm.952229
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