Body Fat Accumulation and Postoperative Complications After Abdominal Surgery

Tsukada, Katsuhiko; Miyazaki, Tatsuya; Kato, Hiroyuki; Masuda, Norihiro; Fukuchi, Minoru; Fukai, Yasuyuki; Nakajima, Masanobu; Ishizaki, Masatoshi; Motegi, Masahiko; Mogi, Akira; Sohda, Makoto; Moteki, Takao; Sekine, Tomoaki; Kuwano, Hiroyuki
April 2004
American Surgeon;Apr2004, Vol. 70 Issue 4, p347
Academic Journal
The contribution of subcutaneous or intra-abdominal fat (SCF, IAF) accumulation to postoperative mortality or morbidity after elective gastric or colorectal cancer surgery was studied. One hundred thirty-nine patients who underwent gastric or colorectal cancer surgery were investigated. Data were collected on the following preoperative comorbid conditions: lung dysfunction, cardiovascular dysfunction, liver dysfunction, or diabetes mellitus (DM). The IAF and SCF areas were determined at the umbilical level by preoperative CT scanning. We investigated whether IAF or SCF was independently associated with postoperative mortality or morbidity. The mortality rate was 0.7 per cent (1/139). Nineteen (14%) of 139 patients had medical complications (pneumonitis or arrhythmia) and 27 (19%) had surgery-related complications (anastomotic leakage, intra-abdominal collections, or abdominal wound infection) postoperatively. Age (≥70 years), lung dysfunction, cardiovascular dysfunction, and IAF were significantly associated with medical complications, and surgical site (gastric/colorectal), DM, body mass index, IAF, and SCF were significant for surgery-related complications by univariate analysis. Multilogistic regression analysis showed that age, cardiovascular dysfunction, and IAF were significant for medical complications, and surgical site, DM, and SCF were independently related with surgery-related complications. Body fat accumulation is independently associated with postoperative morbidity after gastric or colorectal surgery, and assaying it may be useful for predicting postoperative complications.


Related Articles

  • Surgical complications of hemolytic uremic syndrome: Single center experiences. Hooman, Nakysa; Otukesh, Hasan; Delshad, Salahedin; Farhood, Pirooz // Journal of Indian Association of Pediatric Surgeons;Jul-Sep2007, Vol. 12 Issue 3, p129 

    Purpose: To determine the prevalence, outcome and prognostic factors in children with hemolytic uremic syndrome (HUS) who underwent laparotomy. Materials and Methods: The medical records of 104 patients with HUS who presented to our center between 1986 and 2003 were reviewed retrospectively....

  • Multidimensional Analysis of the Learning Curve for Laparoscopic Rectal Cancer Surgery. Gyung-Mo Son; Jun-Gi Kim; Jae-Chung Lee; Young-Jin Suh; Hyeon-Min Cho; Yoon-Suk Lee; In-Kyu Lee; Chung-Soo Chun // Journal of Laparoendoscopic & Advanced Surgical Techniques;Sep2010, Vol. 20 Issue 7, p609 

    Background: The need for an initial learning experience in laparoscopic colorectal cancer surgery has been well established. However, the inherent differences in the complexity and results of laparoscopic rectal cancer surgery, as compared to colon surgery, warrant a study to analyze the...

  • PowikÅ‚ania stomii jelitowych - leczenie chirurgiczne. Szczepkowski, Marek; Niemirowicz-Szczytt, Maria // Gastroenterologia Polska / Gastroenterology;2009, Vol. 16 Issue 2, p183 

    Despite significant development in surgical techniques and medical technology, the number of surgical interventions resulting in colostomy is not decreasing due to increased colorectal cancer morbidity and factors such as inflammatory bowel disease and injury. The advances in colorectal surgery...

  • Analysis of complications after surgery for colorectal cancer with particular consideration to anastomotic leakage. Kozłowska, Monika; Głuszek, Stanisław // Medical Studies / Studia Medyczne;2015, Vol. 31 Issue 2, p82 

    Introduction: Anastomotic leakage is among the most common and most serious complications after colorectal surgery. It may lead to the necessity of repeating the procedure, prolongation of hospitalisation period, and an increase in the mortality rate. Aim of the research: The objective of the...

  • The clinical analysis of acute pancreatitis in colorectal cancer patients undergoing chemotherapy after operation. Yanlei Ji; Zhen Han; Limei Shao; Yunling Li; Long Zhao; Yuehuan Zhao // OncoTargets & Therapy;Sep2015, Vol. 8, p2527 

    Acute pancreatitis is a rare complication in postoperative colorectal cancer patients after FOLFOX6 (oxaliplatin + calcium folinate +5-FU [5-fluorouracil]) chemotherapy. In this paper, a total of 62 patients with gastrointestinal cancer were observed after the burst of acute pancreatitis....

  • A CASE OF INTRALUMINAL ENDOSCOPIC SUTURING OF GASTRIC PERFORATION. Kantsevoy, S. V.; Mitrakov, A. A.; Peshkin, A. V. // Medical Technologies in Medicine / Sovremennye Tehnologii v Medi;2014, Vol. 6 Issue 2, p138 

    Recent endoscopic equipment development enabled to diagnose premalignant conditions and early gastric and colon cancer resulting in the rise of new methods of endoscopic treatment -- endoscopic mucosal resection and endoscopic submucosal dissection. The advantages of such operation are obvious...

  • Abdominal Surgery in Nonagenarians: Short-Term Results. Gustavo de Teresa; Claudia Tinoco; Miguel Toledano; Awwad Said // Surgery Today;Dec2007, Vol. 37 Issue 12, p1064 

    Abstract Purpose  To determine the short-term results of abdominal surgery in nonagenarians. Methods  Retrospective analyses of 193 patients aged 90 and older operated on for abdominal complaints during a 15-year period (1990–2004) in a 500-bed tertiary care institutional...

  • Impact of prior abdominal surgery on curative resection of colon cancer via minilaparotomy. ISHIDA, HIDEYUKI; ISHIGURO, TOHRU; ISHIBASHI, KEIICHIRO; OHSAWA, TOMONORI; KUWABARA, KOUKI; OKADA, NORIMICHI; MIYAZAKI, TATSUYA // Surgery Today;Mar2011, Vol. 41 Issue 3, p369 

    Purpose: To evaluate the impact of prior abdominal surgery on curative resection of colon cancer via a minilaparotomy approach. Methods: Feasibility, safety, and oncological outcomes were evaluated retrospectively in 263 patients scheduled to undergo curative resection of colon cancer via a...

  • RELAPAROTOMY-DEFINITION AND ATTEMPT FOR A NEW CLINICAL CLASSIFICATION. Yovtchev, Y.; Nicolov, St.; Stanilov, N.; Ovcharov, Iv.; Petrov, Al. // Trakia Journal of Sciences;2010, Vol. 8 Issue 1, p87 

    In the last years as a result of heaping of clinical database connected with adequately and timely operative treatment in patents with postoperative complications existed ? series of questions. First of all it was connected with the way of classification on the reasons that demanded new...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics