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@article{1727347,
author = {Pekařová, Anna and Pekař, Matej and Soltes, Marek and Havrlentova, Lucia and Chovancova, Tereza},
article_location = {POZNAN},
article_number = {1},
doi = {http://dx.doi.org/10.5114/wiitm.2020.100880},
keywords = {complications; colorectal cancer; computed tomography; sarcopaenia; psoas density},
language = {eng},
issn = {1895-4588},
journal = {VIDEOSURGERY AND OTHER MINIINVASIVE TECHNIQUES},
title = {Psoas density - an optimal sarcopaenic indicator associated with postoperative complications after colorectal resection for cancer?},
url = {https://doi.org/10.5114/wiitm.2020.100880},
volume = {16},
year = {2021}
}
TY - JOUR
ID - 1727347
AU - Pekařová, Anna - Pekař, Matej - Soltes, Marek - Havrlentova, Lucia - Chovancova, Tereza
PY - 2021
TI - Psoas density - an optimal sarcopaenic indicator associated with postoperative complications after colorectal resection for cancer?
JF - VIDEOSURGERY AND OTHER MINIINVASIVE TECHNIQUES
VL - 16
IS - 1
SP - 91-97
EP - 91-97
PB - TERMEDIA PUBLISHING HOUSE LTD
SN - 18954588
KW - complications
KW - colorectal cancer
KW - computed tomography
KW - sarcopaenia
KW - psoas density
UR - https://doi.org/10.5114/wiitm.2020.100880
L2 - https://doi.org/10.5114/wiitm.2020.100880
N2 - 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 postop- erative 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 sin- gle 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 preop- erative staging CT scan, it might be considered an optimal sarcopaenic indicator to be utilised in everyday practice.
ER -
PEKAŘOVÁ, Anna, Matej PEKAŘ, Marek SOLTES, Lucia HAVRLENTOVA a Tereza CHOVANCOVA. Psoas density - an optimal sarcopaenic indicator associated with postoperative complications after colorectal resection for cancer? \textit{VIDEOSURGERY AND OTHER MINIINVASIVE TECHNIQUES}. POZNAN: TERMEDIA PUBLISHING HOUSE LTD, roč.~16, č.~1, s.~91-97. ISSN~1895-4588. doi:10.5114/wiitm.2020.100880. 2021.
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