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Laparoscopic Colorectal Resection in Patients with Sarcopenia: A Retrospective Case-Control Study
Akira Ouchi1, Masahiko Asano1, Keiya Aono1
1Department of Surgery, Chita City Hospital , Chita, Aichi, Japan .
Background And Objectives:
Previous study has reported that sarcopenia increases the risk of postoperative complications following open colorectal resection. The aim of this retrospective case-control study was to evaluate the feasibility of laparoscopic colorectal resection in patients with sarcopenia.
Methods:
We retrospectively analyzed 60 patients who underwent laparoscopic colorectal resection for primary colorectal cancer between April 2012 and March 2015 at our institution. The patients were divided into two groups: sarcopenia group (normalized total psoas muscle area in males, <538 mm/m(2); in females, <346 mm/m(2); n = 20) and nonsarcopenia group (n = 40).
Results:
No significant differences in the overall rate of postoperative complications (20% vs. 20%) or major postoperative complications of Clavien-Dindo Grade III or more (5% vs. 5%) were observed between the patients in the sarcopenia and nonsarcopenia groups. Sarcopenia was not found to be a predictor of postoperative complications by univariate analysis.
Conclusion:
Laparoscopic colorectal resection was feasible in patients with sarcopenia.
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