학술논문
Impact of sarcopenia in esophageal cancer / 食道癌患者におけるサルコペニアの意義
Document Type
Journal Article
Author
Chiyo Nakashima; Hiroaki Nagano; Hiroto Matsui; Michihisa Iida; Mitsuo Nishiyama; Nobuaki Suzuki; Satoshi Matsukuma; Shigeru Takeda; Shin Yoshida; Shinobu Tomochika; Tatsuya Ioka; Toshitaro Shindo; Tunenori Yamamoto; Yukio Tokumitsu; Yusaku Watanabe; 中島 千代; 井岡 達也; 友近 忍; 吉田 晋; 山本 常則; 徳光 幸生; 新藤 芳太郎; 松井 洋人; 松隈 聰; 武田 茂; 永野 浩昭; 渡邊 裕策; 西山 光郎; 鈴木 伸明; 飯田 通久
Source
日本外科感染症学会雑誌 / Journal of Japan Society for Surgical Infection. 2021, 18(2):298
Subject
Language
Japanese
ISSN
1349-5755
2434-0103
2434-0103
Abstract
We investigated for sarcopenia and the surgical outcomes in 124 patients with esophagectomy. The skeletal muscle index (SMI) diagnostic threshold for sarcopenia was determined using computed tomography. Preoperative sarcopenia was prevalent in 77 patients (62％). The incidence of surgical site infections and infectious morbidity was significantly higher in the sarcopenia group (32.4％ and 40.2％) than in the non-sarcopenia group (P＝0.02 and P＝0.01). The frequency of all complications in the sarcopenia group was significantly higher and was a risk factor in multivariate analysis. Recurrence-free survival was significantly lower in the sarcopenia group, but there was no significant difference in overall survival. Preoperative sarcopenia in patients undergoing esophageal cancer surgery was at high risk of postoperative morbidity and requires careful perioperative management.