|Table of Contents|

Effect of visceral obesity on early postoperative complications of right colon cancer

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2023 10
Page:
1865-1868
Research Field:
Publishing date:

Info

Title:
Effect of visceral obesity on early postoperative complications of right colon cancer
Author(s):
ZHAO Lixia1; 2; CAO Cong2; 3; ZHANG Honglai2; 3; CHEN Yifeng2; 3; WANG Tao2; 3; ZHANG Weisheng2; 3; YANG Xiongfei2; 3
1.The First Clinical Medical College of Gansu University of Traditional Chinese Medicine,Gansu Lanzhou 730000,China;2.Gansu Provincial Clinical Medical Research Center for Anorectal Diseases,Gansu Lanzhou 730000,China;3.Anorectal Department,Gansu Provincial People's Hospital,Gansu Lanzhou 730000,China.
Keywords:
visceral obesity; VFA; right colon cancer; early postoperative complications
PACS:
R735.3+5
DOI:
10.3969/j.issn.1672-4992.2023.10.017
Abstract:
Objective:To explore the effect of visceral obesity on the early complications after radical resection of right colon cancer.Methods:The clinicopathologic data of patients receiving radical operation for right colon cancer in the anorectal department of Gansu Provincial People's Hospital from October 2020 to October 2022 were analyzed retrospectively.The visceral fat area (VFA) was estimated based on abdominal CT data collected at one month before surgery.The patients were divided into the VFA-H group (VFA≥100 cm2) and VFA-L group (VFA<100 cm2).The clinicopathological features and early postoperative complications were compared between the two groups.Univariate and multivariate Logistic regression models were used to analyze the risk factors affecting the early postoperative complications of right colon cancer.Results:A total of 112 patients with right colon cancer were included in the study,including 49 patients in VFA-H group and 63 patients in VFA-L group.There were no statistically significant differences in gender,age,tumor size,T stage,degree of differentiation and albumin between the two groups (P>0.05),while there were statistically significant differences in TNM stage,BMI and ASA grade between the two groups (P＜0.05).Through comparison of the intraoperative and postoperative conditions between the two groups,the intraoperative blood loss in VFA-H group was higher,and the difference was statistically significant (P＜0.05).There were no significant differences in operation time,first postoperative exhaust time,first postoperative defecation time and postoperative hospital stay time (P>0.05).Univariate analysis showed that operation time>180 min and VFA≥100 cm2 were risk factors for early postoperative complications of right colon cancer (P＜0.05).Multivariate analysis showed that VFA≥100 cm2 was an independent risk factor for early postoperative complications of right colon cancer (P＜0.05).Conclusion:VFA≥100 cm2 is an independent risk factor for early postoperative complications of right colon cancer.

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Memo

Memo:
甘肃省自然科学基金（编号：22JR5RA676）；甘肃省肛肠疾病临床医学研究中心项目（编号：20JR10RA434）；甘肃省人民医院院内科研基金(编号：21GSSYC-19)
Last Update: 1900-01-01