Objective To investigate the correlation between sarcopenia and complications after laparoscopic resection in elderly patients with esophageal cancer.Methods 82 elderly patients with esophageal cancer who underwent thoracoscopy esoph-agectomy were selected as observation objects;clinical data of all patients were collected;CT was applied to measure SMI to deter-mine whether the patient had Sarcopenia;multivariate Logistic regression analysis of the factors affecting the incidence of postoper-ative complications in elderly patients with esophageal cancer after thoracoscopic resection.Results A total of 82 elderly patients with esophageal cancer who underwent thoracoscopy esophagectomy were included in this study,34 patients(41.46％)were diag-nosed as Sarcopenia,48 patients(58.54％)were non Sarcopenia;BMI of Sarcopenia group was obviously lower than that of non Sarcopenia group(P＜0.05),and there was no obvious difference in other baseline data(P＞0.05);among 82 patients,37(45.12％)had complications,while 45(54.88％)had no complications;there were obvious differences in ASA grading and the proportion of patients with Sarcopenia between those with complications and those without complications(P＜0.05);multivariate logistic regression analysis showed that Sarcopenia(OR=3.719,95％CI:1.301～10.634)was a risk factor for postoperative complications in elderly patients undergoing thoracoscopy esophagectomy(P＜0.05).Conclusion Sarcopenia is an independent risk factor for complications after thoracoscopic resection in elderly patients with esophageal cancer.Surgical patients should be di-agnosed as early as possible,timely intervention and nutritional support are provided to reduce the risk of postoperative complica-tions.
关键词
肌肉减少症/胸腔镜/食管癌切除术/老年/术后并发症
Key words
Sarcopenia/Thoracoscopy/Esophageal cancer resection/Elderly/Postoperative complications
维普
万方数据