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Impact of Sarcopenic Obesity on Surgical Site Infection after Laparoscopic Total Gastrectomy

  • Gastrointestinal Oncology
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

Abstract

Background

The critical risk factors for surgical site infection (SSI) after laparoscopic total gastrectomy (LTG) remain unclear. We analyzed the association between body composition and SSI after LTG.

Methods

We performed a retrospective study of patients with gastric cancer who underwent LTG between March 2006 and October 2014 at Kyoto University Hospital, Japan. Visceral fat area and skeletal muscle mass were assessed from preoperative computed tomography scans to define sarcopenia and obesity. Patients were classified into one of four body composition categories according to the presence or absence of sarcopenia or obesity. The incidence of SSI was compared between the four body composition categories.

Results

Of the 157 eligible patients, 45 (24 %) fulfilled the criteria for sarcopenic obesity, 28 (18 %) for nonsarcopenic obesity, 52 (33 %) for sarcopenic nonobesity, and 32 (20 %) for nonsarcopenic nonobesity. Thirty-two patients developed SSI (overall incidence rate, 20 %). The incidence of SSI in each body composition category was 33, 25, 13, and 9 %, respectively (P = 0.03). Multivariate logistic regression analysis showed that only sarcopenic obesity was associated with an increased incidence of SSI (odds ratio 4.59, 95 % confidence interval 1.18–17.78, P = 0.028).

Conclusions

Sarcopenic obesity is an independent risk factor for the development of SSI after LTG.

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Disclosure

The authors declare no conflict of interest.

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Authors and Affiliations

  1. Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan

    Tatsuto Nishigori MD, Shigeru Tsunoda MD, PhD, Hiroshi Okabe MD, PhD, Eiji Tanaka MD, PhD, Shigeo Hisamori MD, PhD, Hisahiro Hosogi MD, PhD, Hisashi Shinohara MD, PhD & Yoshiharu Sakai MD, PhD

  2. Department of Surgery, Otsu Municipal Hospital, Shiga, Japan

    Hiroshi Okabe MD, PhD

  3. Department of Surgery, Kobe City Medical Center West Hospital, Hyogo, Japan

    Eiji Tanaka MD, PhD

Authors
  1. Tatsuto Nishigori MD
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  2. Shigeru Tsunoda MD, PhD
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  3. Hiroshi Okabe MD, PhD
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  4. Eiji Tanaka MD, PhD
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  5. Shigeo Hisamori MD, PhD
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  6. Hisahiro Hosogi MD, PhD
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  7. Hisashi Shinohara MD, PhD
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  8. Yoshiharu Sakai MD, PhD
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Corresponding author

Correspondence to Shigeru Tsunoda MD, PhD.

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Nishigori, T., Tsunoda, S., Okabe, H. et al. Impact of Sarcopenic Obesity on Surgical Site Infection after Laparoscopic Total Gastrectomy. Ann Surg Oncol 23 (Suppl 4), 524–531 (2016). https://doi.org/10.1245/s10434-016-5385-y

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  • DOI: https://doi.org/10.1245/s10434-016-5385-y

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