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Is radiological psoas muscle area measurement a predictor of postoperative complications after rectal resection for rectal cancer? A retrospective study

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Abstract

Purpose

Previous studies have reported that sarcopenia increases the risk of postoperative complications following colorectal resection. This retrospective study assessed the postoperative complications of rectal resection associated with sarcopenia.

Methods

We retrospectively analyzed 262 patients who underwent curative low anterior resection for primary rectal cancer from January 2008 to May 2020 at our institution. The patients were divided into a sarcopenia group (normalized total psoas muscle area < 6.36 cm2/m2 in males and < 3.92 cm2/m2 in females; N = 49) and a non-sarcopenia group (N = 213).

Results

The overall rate of postoperative complications within 30 days of surgery was higher in the sarcopenia group than in the non-sarcopenia group (46.9 vs. 29.6%; P = 0.028). The rate of postoperative remote infections was higher in the sarcopenia group than in the non-sarcopenia group (12.2 vs. 2.8%; P = 0.012). Sarcopenia was found to be a predictor of remote infection by a multivariate analysis (odds ratio, 4.08; 95% confidence interval, 1.12–14.80; P = 0.033).

Conclusion

Sarcopenia diagnosed using the psoas muscle index was found to be an independent predictive factor for postoperative remote infection after curative low anterior resection for rectal cancer.

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Availability of data and materials

The datasets used and analyzed during this study are available from the corresponding author upon reasonable request.

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Acknowledgements

We would like to thank Editage (www.editage.jp) for the English language editing.

Funding

This study was not supported by any associations.

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Authors and Affiliations

  1. Department of Digestive Surgery, Niigata City General Hospital, 463-7 Shumoku, Chuo-ku, Niigata City, Niigata, 950-1197, Japan

    Hiroaki Uehara, Toshiyuki Yamazaki, Akira Iwaya, Hitoshi Kameyama, Shiori Utsumi, Rina Harada, Masaru Komatsu, Motoharu Hirai, Akira Kubota, Tomohiro Katada, Kazuaki Kobayashi, Daisuke Sato, Naoyuki Yokoyama, Shirou Kuwabara & Tetsuya Otani

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  1. Hiroaki Uehara
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  2. Toshiyuki Yamazaki
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Correspondence to Hiroaki Uehara.

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Uehara, H., Yamazaki, T., Iwaya, A. et al. Is radiological psoas muscle area measurement a predictor of postoperative complications after rectal resection for rectal cancer? A retrospective study. Surg Today 52, 306–315 (2022). https://doi.org/10.1007/s00595-021-02346-x

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  • DOI: https://doi.org/10.1007/s00595-021-02346-x

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