TY - JOUR
T1 - Effects of sarcopenia and myosteatosis are alleviated in reduced port surgery for diverticulitis
AU - Schaffler-Schaden, Dagmar
AU - Mittermair, Christof
AU - Bittner, Ferdinand
AU - Zintl, Ramona
AU - Schaffler, Gottfried
AU - Weiss, Helmut
N1 - Lehr-KH: Department of Surgery, St. John of God Hospital, Teaching Hospital of the Paracelsus Medical University, Kajetanerplatz 1, 5010 Salzburg, Austria;
Schaffler-Schaden: Institute of General Practice, Family Medicine and Preventive Medicine, Paracelsus Medical University, Strubergasse 21, 5020 Salzburg, Austria.
PY - 2023/7/25
Y1 - 2023/7/25
N2 - PURPOSE: Many studies report the predictive value of sarcopenia, myosteatosis, and visceral fat for clinical outcome after surgery. Radiological analysis of body composition is a valuable tool for identifying high-risk patients undergoing major abdominal surgery. Despite the high prevalence of diverticular disease, patients with benign conditions have hardly been studied in this context. This study aims to evaluate the impact of reduced port surgery on the outcome of patients with diverticulitis, adjusting for body composition.METHODS: We assessed body composition profiles using preoperative CT slices at the level of the third lumbar vertebra in consecutive patients undergoing single-port elective surgery for diverticulitis in a single center. The effects of sarcopenia, myosteatosis, and visceral fat on mortality and complications were analyzed and adjusted for age and gender.RESULTS: We enrolled 99 patients with diverticulitis undergoing elective single port surgery in this study. Of the patients, 71.2% had sarcopenia and 60.6% had myosteatosis. The overall complication rate was 17.2%, and the rate of anastomotic leakage was 4.0%. Thirty-day mortality was 2.0%. Loss of skeletal muscle mass, myosteatosis, and visceral fat were not associated with higher complication or mortality rates in our cohort.CONCLUSION: Body composition profiles had no impact on the clinical course in our cohort. Minimally invasive surgery may potentially compensate for the adverse effects of sarcopenia and myosteatosis in diverticulitis.
AB - PURPOSE: Many studies report the predictive value of sarcopenia, myosteatosis, and visceral fat for clinical outcome after surgery. Radiological analysis of body composition is a valuable tool for identifying high-risk patients undergoing major abdominal surgery. Despite the high prevalence of diverticular disease, patients with benign conditions have hardly been studied in this context. This study aims to evaluate the impact of reduced port surgery on the outcome of patients with diverticulitis, adjusting for body composition.METHODS: We assessed body composition profiles using preoperative CT slices at the level of the third lumbar vertebra in consecutive patients undergoing single-port elective surgery for diverticulitis in a single center. The effects of sarcopenia, myosteatosis, and visceral fat on mortality and complications were analyzed and adjusted for age and gender.RESULTS: We enrolled 99 patients with diverticulitis undergoing elective single port surgery in this study. Of the patients, 71.2% had sarcopenia and 60.6% had myosteatosis. The overall complication rate was 17.2%, and the rate of anastomotic leakage was 4.0%. Thirty-day mortality was 2.0%. Loss of skeletal muscle mass, myosteatosis, and visceral fat were not associated with higher complication or mortality rates in our cohort.CONCLUSION: Body composition profiles had no impact on the clinical course in our cohort. Minimally invasive surgery may potentially compensate for the adverse effects of sarcopenia and myosteatosis in diverticulitis.
KW - Anastomotic Leak
KW - Body Composition
KW - Diverticular Diseases
KW - Diverticulitis
KW - Humans
KW - Sarcopenia
U2 - 10.1007/s00384-023-04492-9
DO - 10.1007/s00384-023-04492-9
M3 - Original Article
C2 - 37490182
SN - 0179-1958
VL - 38
SP - 202
JO - INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
JF - INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
IS - 1
ER -