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百分比肺活量预测初始非肌肉减少症食管癌患者食管切除术后的术后肌肉减少症:一项回顾性队列研究。

Percent vital capacity predicts postoperative sarcopenia after esophagectomy in initially nonsarcopenic esophageal cancer patients: a retrospective cohort study.

机构信息

Department of Gastrointestinal Surgery, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.

Department of Gastroenterological Surgery, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka-Shi, Saitama, 350-1298, Japan.

出版信息

Surg Today. 2024 Jul;54(7):702-711. doi: 10.1007/s00595-023-02788-5. Epub 2024 Jan 16.


DOI:10.1007/s00595-023-02788-5
PMID:38227021
Abstract

PURPOSE: The development of sarcopenia after esophagectomy is reported to affect the outcomes of patients with esophageal cancer (EC); however, the characteristics of patients likely to be predisposed to postoperative sarcopenia have not been defined. This study explores the associations between preoperative respiratory function and surgery-induced sarcopenia in EC patients confirmed as nonsarcopenic preoperatively. METHODS: The subjects of this retrospective review were 128 nonsarcopenic patients who underwent esophagectomy for EC. We took body composition measurements and performed physical function tests 3 and 6 months postoperatively, to establish whether sarcopenia was present, according to the 2019 Asian Working Group for Sarcopenia guideline. We defined patients with surgery-induced sarcopenia as those with evidence of the development of sarcopenia within 6 months postoperatively or those with documented sarcopenia at 3 months but who could not be evaluated at 6 months. RESULTS: Surgery-induced sarcopenia developed in 19 of the 128 patients (14.8%), which correlated significantly with the preoperative %VC value (p < 0.01), but not with the preoperative FEV1.0% value. We set the lower quartile %VC value (91%) as the cut-off for predicting surgery-induced sarcopenia. A low %VC was independently associated with surgery-induced sarcopenia (odds ratio: 5.74; 95% confidence interval: 1.99-16.57; p < 0.01). CONCLUSIONS: Based on the findings of this study, %VC was a simple but valuable factor for predicting sarcopenia induced by esophagectomy.

摘要

目的:据报道,食管癌(EC)患者术后发生恶病质会影响其预后;然而,易发生术后恶病质的患者特征尚未明确。本研究旨在探讨术前呼吸功能与术前非恶病质的 EC 患者术后发生肌少症之间的关系。

方法:本回顾性研究的对象为 128 例因 EC 行食管切除术且术前非恶病质的患者。我们在术后 3 个月和 6 个月时进行身体成分测量和身体功能测试,根据 2019 年亚洲肌少症工作组指南确定是否存在肌少症。我们将术后发生肌少症的患者定义为术后 6 个月内出现肌少症进展的患者,或 3 个月时已存在肌少症但 6 个月时无法评估的患者。

结果:128 例患者中有 19 例(14.8%)发生术后肌少症,与术前 %VC 值显著相关(p<0.01),但与术前 FEV1.0%值无关。我们将较低四分位 %VC 值(91%)作为预测术后肌少症的截止值。低 %VC 与术后肌少症独立相关(优势比:5.74;95%置信区间:1.99-16.57;p<0.01)。

结论:基于本研究结果,%VC 是预测食管切除术后肌少症的一个简单但有价值的因素。

相似文献

[1]
Percent vital capacity predicts postoperative sarcopenia after esophagectomy in initially nonsarcopenic esophageal cancer patients: a retrospective cohort study.

Surg Today. 2024-7

[2]
Preoperative Low Vital Capacity Influences Survival After Esophagectomy for Patients with Esophageal Carcinoma.

World J Surg. 2020-7

[3]
The Optimal Definition of Sarcopenia for Predicting Postoperative Pneumonia after Esophagectomy in Patients with Esophageal Cancer.

World J Surg. 2021-10

[4]
Preoperative sarcopenia is a predictor of postoperative pulmonary complications in esophageal cancer following esophagectomy: A retrospective cohort study.

J Geriatr Oncol. 2016-11

[5]
Pulmonary diffusion capacity predicts major complications after esophagectomy for patients with esophageal cancer.

Dis Esophagus. 2019-3-1

[6]
Sarcopenia, the depletion of muscle mass, an independent predictor of respiratory complications after oncological esophagectomy.

Dis Esophagus. 2019-3-1

[7]
Utility for Postoperative Respiratory Function of Transmediastinal Esophagectomy for Esophageal Carcinoma.

In Vivo. 2024

[8]
Sarcopenia as a predictor of pulmonary complications after esophagectomy for thoracic esophageal cancer.

J Surg Oncol. 2016-5

[9]
Respiratory function after esophagectomy for patients with esophageal cancer.

Hepatogastroenterology. 2002

[10]
Preoperative sarcopenia is a predictor of poor prognosis of esophageal cancer after esophagectomy: a comprehensive systematic review and meta-analysis.

Dis Esophagus. 2019-3-1

本文引用的文献

[1]
Effectiveness of taxanes following nivolumab in patients with advanced esophageal squamous cell carcinoma: a retrospective chart review of patients in ATTRACTION-3.

Esophagus. 2023-4

[2]
A rare case of alveolar hemorrhage with hypertensive emergency.

Medicine (Baltimore). 2022-9-2

[3]
Effect of Postoperative Oral Intake Status on Sarcopenia Six Months After Esophageal Cancer Surgery.

Dysphagia. 2023-2

[4]
Impact of physical activity and energy restriction on immune regulation of cancer.

Transl Cancer Res. 2020-9

[5]
Respiratory Muscle Training Reduces Respiratory Complications and Improves Swallowing Function After Stroke: A Systematic Review and Meta-Analysis.

Arch Phys Med Rehabil. 2022-6

[6]
Parallel-Group Controlled Trial of Surgery Versus Chemoradiotherapy in Patients With Stage I Esophageal Squamous Cell Carcinoma.

Gastroenterology. 2021-12

[7]
Exploratory prospective study of the influence of radical esophagectomy on perioperative physical activity in patients with thoracic esophageal cancer.

Dis Esophagus. 2022-2-11

[8]
Relationship Between Early Postoperative Change in Total Psoas Muscle Area and Long-term Prognosis in Esophagectomy for Patients with Esophageal Cancer.

Ann Surg Oncol. 2021-10

[9]
Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries.

CA Cancer J Clin. 2021-5

[10]
The Short Physical Performance Battery (SPPB): A Quick and Useful Tool for Fall Risk Stratification Among Older Primary Care Patients.

J Am Med Dir Assoc. 2021-8

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