The association between psoas muscle area index and morbidity/mortality in laparoscopic gastric cancer surgery

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dc.contributor.authorTurgut, Emre
dc.contributor.authorZengin, Akile
dc.contributor.authorBağ, Yusuf Murat
dc.contributor.authorKaplan, Kuntay
dc.contributor.authorGüneş, Orgun
dc.contributor.authorKaratoprak, Sinan
dc.contributor.authorSümer, Fatih
dc.date.accessioned2024-08-04T19:53:21Z
dc.date.available2024-08-04T19:53:21Z
dc.date.issued2022
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAs advanced gastric cancer often leads to obstruction or cancer-related cachexia, gastric cancer seems to have a closer association with sarcopenia than other types of cancer. Our study aim was to investigate the relationship between the psoas muscle area (PSMA) and morbidity and mortality in patients undergoing gastric cancer surgery. The data of patients who underwent laparoscopic gastric resection between November 2014 and April 2020 were analyzed retrospectively. The intervertebral disc space was verified at L3-4 in the sagittal plane. The PSMA on the right and left sides were measured separately and then added to obtain the total PSMA. This value was then divided by the patient's height (m2) to calculate the psoas muscle area index (PSMAI) (mm2/m2). The mean PSMAI of men (741.1 mm2/m2) was significantly higher than that of women (502.1 mm2/m2) (p<0.001). While there was a positive correlation between the PSMAI and BMI (r:0.352, p:0.019 in women; r:0.447, p<0.001 in men), the correlation between PSMAI and age was negative (r: -0.369, p:0.014 in women; r:-0.349, p<0.001 in men). PSMAI was statistically lower in patients with attendant morbidity (p:0.035). There was no significant relationship between PSMAI and the first 30-day mortality rate (p:0.096); however, the association between PSMAI and both the 90-day mortality rate (p:0.023) and the total mortality rate (p:0.046) were significant. In our opinion, assessing gastric cancer patients for sarcopenia and supporting them with the necessary nutrition and exercise program prior to surgery can help predict and lower postoperative morbidity and mortality rates.en_US
dc.identifier.doi10.5455/medscience.2022.03.051
dc.identifier.endpage1117en_US
dc.identifier.issn2147-0634
dc.identifier.issue3en_US
dc.identifier.startpage1110en_US
dc.identifier.trdizinid1131249en_US
dc.identifier.urihttps://doi.org/10.5455/medscience.2022.03.051
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1131249
dc.identifier.urihttps://hdl.handle.net/11616/89679
dc.identifier.volume11en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofMedicine Scienceen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleThe association between psoas muscle area index and morbidity/mortality in laparoscopic gastric cancer surgeryen_US
dc.typeArticleen_US

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