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논문 기본 정보

자료유형
학술저널
저자정보
Rak Kyun Oh (Chungnam National University College of Medicine) Hye Mi Ko (Chungnam National University College of Medicine) Jeong Eun Lee (Chungnam National University College of Medicine) Kyung Ha Lee (Chungnam National University College of Medicine) Ji Yeon Kim (Chungnam National University College of Medicine) Jin Soo Kim (Chungnam National University College of Medicine)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.99 No.3
발행연도
2020.9
수록면
153 - 160 (8page)

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Purpose: Previous studies have reported that progressive muscle loss, known as sarcopenia, has a negative impact on colon cancer treatment. However, the majority of studies have analyzed on patients undergoing open resection, and the association of sarcopenia with clinical outcomes is not clear for patients with colon cancer undergoing laparoscopic surgery. Thus, the aim of this study was to evaluate the impact of sarcopenia on clinical outcomes after laparoscopic surgery for colon cancer.
Methods: A total of 423 patients who underwent laparoscopic surgery for colon cancer between November 2010 and October 2014 were included. Body composition was assessed by measuring muscle and fat areas at the third lumbar vertebra (L3) on preoperative computed tomography. The L3 skeletal muscle area was used to calculate the skeletal muscle index and to assess for sarcopenia.
Results: Sarcopenia was identified in 54 patients (12.8%). The median time to first flatus (3 days), median time to tolerable soft diet (4 days), and median length of hospital stay (7 days) were not significantly different between patients with and without sarcopenia. However, sarcopenia was an independent risk factor for postoperative complications in the logistic regression multivariate analysis (P = 0.015). Sarcopenia was not associated with overall or disease-free survival.
Conclusion: Sarcopenia was not negatively associated with functional recovery, hospital stay, and oncologic outcomes in patients with colon cancer who underwent laparoscopic surgery. However, sarcopenia was associated with postoperative complications after laparoscopic surgery for colon cancer.
#Colonic neoplasms #Laparoscopy #Prognosis #Sarcopenia

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INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

참고문헌 (22)

참고문헌 신청
Milte R / 2014 / Musculoskeletal health, frailty and functional decline / Best Pract Res Clin Rheumatol 28:395~410 google schola Cooper C / 2012 / Frailty and sarcopenia : definitions and outcome parameters / Osteoporos Int 23:1839~1848 google schola Prado CM / 2008 / Prevalence and clinical implications of sarcopenic obesity in patients with solid tumours of the respiratory and gastrointestinal tracts : a population-based study / Lancet Oncol 9:629~635 google schola Levolger S / 2015 / Systematic review of sarcopenia in patients operated on for gastrointestinal and hepatopancreatobiliary malignancies / Br J Surg 102:1448~1458 google schola Lieffers JR / 2012 / Sarcopenia is associated with postoperative infection and delayed recovery from colorectal cancer resection surgery / Br J Cancer 107:931~936 google schola

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UCI(KEPA) : I410-ECN-0101-2020-514-001167114