Psoas density - an optimal sarcopaenic indicator associated with postoperative complications after colorectal resection for cancer?
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00843989%3A_____%2F21%3AE0108931" target="_blank" >RIV/00843989:_____/21:E0108931 - isvavai.cz</a>
Alternative codes found
RIV/00216224:14110/21:00120956
Result on the web
<a href="https://www.termedia.pl/Psoas-density-an-optimal-sarcopaenic-indicator-associated-with-postoperative-complications-after-colorectal-resection-for-cancer-,42,42413,0,1.html" target="_blank" >https://www.termedia.pl/Psoas-density-an-optimal-sarcopaenic-indicator-associated-with-postoperative-complications-after-colorectal-resection-for-cancer-,42,42413,0,1.html</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.5114/wiitm.2020.100880" target="_blank" >10.5114/wiitm.2020.100880</a>
Alternative languages
Result language
angličtina
Original language name
Psoas density - an optimal sarcopaenic indicator associated with postoperative complications after colorectal resection for cancer?
Original language description
Introduction: Sarcopaenia seems to be predictive factor for postoperative morbidity and mortality after colorectal resection for cancer. Nevertheless, an ideal sarcopaenic indicator is still to be identified. Aim: To evaluate computed tomography (CT) measured total abdominal muscle area (TAMA), total psoas muscle area (TPA), and psoas density (PD) - previously described sarcopaenia indicators - as possible risk factors for postoperative complications in patients after curative colon and rectal resections for colorectal cancer. Material and methods: Consecutive patients after elective curative colon or rectal resection for cancer at a single institution were divided into cohorts with uncomplicated postoperative course or complications Clavien-Dindo grade I-II (Cl-Di 0-II) and complications Clavien-Dindo grade III-V (Cl-Di III-V). Cohorts were statistically tested for significant differences in TAMA, TPA, and PD calculated from preoperative staging CT scans at the level of the third lumbar vertebra. Results: Data of 112 patients were analysed from a prospectively run database; 65 underwent colon and 47 rectal resections. PD was significantly higher in the Cl-Di 0-II cohort compared to the Cl-Di III-V for both colon (42.67 ±6.52 vs. 40.11 ±7.57 HU, p = 0.002) and rectal resections (44.08 ±5.86 vs. 43.03 ±5.70HU, p = 0.016). TAMA and TPA failed to show significant differences. Conclusions: Psoas density is significantly decreased in patients with Clavien-Dindo grade III-V complications after curative resection for colon and rectal cancer. Due to the simplicity and affordability of its assessment from preoperative staging CT scan, it might be considered an optimal sarcopaenic indicator to be utilised in everyday practice.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30212 - Surgery
Result continuities
Project
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Continuities
V - Vyzkumna aktivita podporovana z jinych verejnych zdroju
Others
Publication year
2021
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Videosurgery and other miniinvasive techniques
ISSN
1895-4588
e-ISSN
2299-0054
Volume of the periodical
16
Issue of the periodical within the volume
1
Country of publishing house
PL - POLAND
Number of pages
7
Pages from-to
91-97
UT code for WoS article
000624132700012
EID of the result in the Scopus database
2-s2.0-85103755190