کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6098823 1210969 2015 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Valeur pronostique de la sarcopénie dans la chirurgie des tumeurs du foie
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری‌های گوارشی
پیش نمایش صفحه اول مقاله
Valeur pronostique de la sarcopénie dans la chirurgie des tumeurs du foie
چکیده انگلیسی
Current knowledge indicates that malnutrition increases the rate of postoperative complications, particularly respiratory and infectious, after major surgery. Almost all liver surgery is performed in patients with cancer, a factor that increases the risk of malnutrition. The primary risk factors for postoperative complications are preoperative hypo-albuminemia and a body mass index less than 20 kg/m2. To improve the prediction of complications in these patients, some teams have suggested measurement of muscle thickness by computed tomography. Muscular mass can thus be quantified by measuring the total surface of the psoas muscle or the total surface of all muscles (i.e. external and internal oblique, transverse, psoas and paravertebral muscles) seen on an axial CT slice at L3. As well, data exist suggesting that sarcopenia is an independent predictive factor of postoperative morbidity and poor long-term survival after resection for cancer. Nonetheless, the literature on the subject is limited, there are no standardized definitions for sarcopenia, and the need of special software to calculate the surfaces limits its usefulness. Lastly, there are little if any data concerning the nutritional or pharmacologic means to treat sarcopenia. This update, based on a literature review, deals with the value and the prognostic impact of sarcopenia in surgery for liver tumors. The current definition of sarcopenia, validated internationally, the methods of measurement, and the consequences of sarcopenia on the outcome of liver resections are detailed in this review.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal de Chirurgie Viscérale - Volume 152, Issue 5, November 2015, Pages 307-315
نویسندگان
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