Laparoscopic Colorectal Resection in Patients with Sarcopenia: A Retrospective Case-Control Study

Abstract

Abstract

Background and Objectives:

Previous study has reported that sarcopenia increases the risk of postoperative complications following open colorectal resection. The aim of this retrospective case–control study was to evaluate the feasibility of laparoscopic colorectal resection in patients with sarcopenia.

Methods:

We retrospectively analyzed 60 patients who underwent laparoscopic colorectal resection for primary colorectal cancer between April 2012 and March 2015 at our institution. The patients were divided into two groups: sarcopenia group (normalized total psoas muscle area in males, <538 mm/m²; in females, <346 mm/m²; n = 20) and nonsarcopenia group (n = 40).

Results:

No significant differences in the overall rate of postoperative complications (20% vs. 20%) or major postoperative complications of Clavien–Dindo Grade III or more (5% vs. 5%) were observed between the patients in the sarcopenia and nonsarcopenia groups. Sarcopenia was not found to be a predictor of postoperative complications by univariate analysis.

Conclusion:

Laparoscopic colorectal resection was feasible in patients with sarcopenia.