Abstract：
BACKGROUND:Skeletal muscle depletion, referred to as sarcopenia, has been shown to be an independent predictor of lower disease-free and overall survivals in various kinds of diseases. The quality of skeletal muscle has recently attracted much attention as a new parameter of sarcopenia, but its impact on surgical complications is still unknown. METHODS:A retrospective analysis of 492 patients undergoing hepatectomy for hepatocellular carcinoma (HCC) in our institution between April 2005 and December 2014 was performed. The quality of skeletal muscle was evaluated by intramuscular adipose tissue content (IMAC) using preoperative CT imaging at the umbilical level. The impact of sarcopenia on postoperative complications and the predictors of surgical complications after hepatectomy for HCC were analyzed. RESULTS:Patients with high IMAC were older and had higher body mass index, higher indocyanine green retention test at 15 min, and more operative blood loss. Among 492 patients, 108 (22 %) patients had major postoperative complications (Clavien grade ≥ III), and infectious complications were found in 74 (15 %) patients. Twelve (2 %) patients died from postoperative complications. On multivariate analysis, preoperative high IMAC was an independent risk factor for increased major postoperative complications [odds ratio (OR) 1.580; P = 0.049] and infectious complications (OR 1.903; P = 0.021). CONCLUSIONS:Preoperative muscle steatosis evaluated with IMAC was closely correlated with increased postoperative complications, especially infectious complications. The preoperative nutritional intervention and rehabilitation might lead to the improvement of postoperative outcomes after hepatectomy for HCC.
journal_name
World J Surgjournal_title
World journal of surgeryauthors
Hamaguchi Y,Kaido T,Okumura S,Kobayashi A,Fujimoto Y,Ogawa K,Mori A,Hammad A,Hatano E,Uemoto Sdoi
10.1007/s00268-016-3504-3subject
Has Abstractpub_date
2016-08-01 00:00:00pages
1959-68issue
8eissn
0364-2313issn
1432-2323pii
10.1007/s00268-016-3504-3journal_volume
40pub_type
杂志文章abstract：:In a double-blind placebo-controlled study we investigated the effect of recombinant human erythropoietin (r-HuEPO), on the perioperative hemoglobin concentration and the use of blood transfusions in patients undergoing elective colorectal surgery with a preoperative hemoglobin level
journal_title：World journal of surgery
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：World journal of surgery
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journal_title：World journal of surgery
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：World journal of surgery
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journal_title：World journal of surgery
pub_type： 杂志文章,评审
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pub_type： 杂志文章
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journal_title：World journal of surgery
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pub_type： 杂志文章
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/BF01659042
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journal_title：World journal of surgery
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journal_title：World journal of surgery
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pub_type： 历史文章,杂志文章
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journal_title：World journal of surgery
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journal_title：World journal of surgery
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pub_type： 杂志文章,meta分析
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更新日期：2016-10-01 00:00:00
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更新日期：2020-03-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2004-03-01 00:00:00
