Effects of sarcopenia and myosteatosis are alleviated in reduced port surgery for diverticulitis

Purpose Many studies report the predictive value of sarcopenia, myosteatosis, and visceral fat for clinical outcome after surgery. Radiological analysis of body composition is a valuable tool for identifying high-risk patients undergoing major abdominal surgery. Despite the high prevalence of divert...

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Bibliographic Details
Published in:International journal of colorectal disease 2023-07, Vol.38 (1), p.202-202, Article 202
Main Authors: Schaffler-Schaden, Dagmar, Mittermair, Christof, Bittner, Ferdinand, Zintl, Ramona, Schaffler, Gottfried, Weiss, Helmut
Format: Article
Language:English
Subjects:
Analysis
Anastomotic Leak
Body Composition
Diverticular Diseases
Diverticulitis
Gastroenterology
Health aspects
Hepatology
Humans
Internal Medicine
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Mortality
Muscles
Physiological aspects
Prevalence studies (Epidemiology)
Proctology
Sarcopenia
Surgery
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Summary:Purpose Many studies report the predictive value of sarcopenia, myosteatosis, and visceral fat for clinical outcome after surgery. Radiological analysis of body composition is a valuable tool for identifying high-risk patients undergoing major abdominal surgery. Despite the high prevalence of diverticular disease, patients with benign conditions have hardly been studied in this context. This study aims to evaluate the impact of reduced port surgery on the outcome of patients with diverticulitis, adjusting for body composition. Methods We assessed body composition profiles using preoperative CT slices at the level of the third lumbar vertebra in consecutive patients undergoing single-port elective surgery for diverticulitis in a single center. The effects of sarcopenia, myosteatosis, and visceral fat on mortality and complications were analyzed and adjusted for age and gender. Results We enrolled 99 patients with diverticulitis undergoing elective single port surgery in this study. Of the patients, 71.2% had sarcopenia and 60.6% had myosteatosis. The overall complication rate was 17.2%, and the rate of anastomotic leakage was 4.0%. Thirty-day mortality was 2.0%. Loss of skeletal muscle mass, myosteatosis, and visceral fat were not associated with higher complication or mortality rates in our cohort. Conclusion Body composition profiles had no impact on the clinical course in our cohort. Minimally invasive surgery may potentially compensate for the adverse effects of sarcopenia and myosteatosis in diverticulitis.
ISSN:1432-1262
0179-1958
1432-1262
DOI:10.1007/s00384-023-04492-9