Correlation Between Sarcopenia and Postoperative Complications in Elderly Patients Underwent Thoracoscopy Esophagectomy
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.
SarcopeniaThoracoscopyEsophageal cancer resectionElderlyPostoperative complications
万方数据
维普
