title: Laparoscopic Colorectal Resection in Patients with Sarcopenia: A Retrospective Case-Control Study.
abstract: OBJECTIVE
  Previous study has reported that sarcopenia increases the risk of postoperative complications following open colorectal resection. The aim of this retrospective case-control study was to evaluate the feasibility of laparoscopic colorectal resection in patients with sarcopenia.
  
  
  METHODS
  We retrospectively analyzed 60 patients who underwent laparoscopic colorectal resection for primary colorectal cancer between April 2012 and March 2015 at our institution. The patients were divided into two groups: sarcopenia group (normalized total psoas muscle area in males, <538 mm/m(2); in females, <346 mm/m(2); n = 20) and nonsarcopenia group (n = 40).
  
  
  RESULTS
  No significant differences in the overall rate of postoperative complications (20% vs. 20%) or major postoperative complications of Clavien-Dindo Grade III or more (5% vs. 5%) were observed between the patients in the sarcopenia and nonsarcopenia groups. Sarcopenia was not found to be a predictor of postoperative complications by univariate analysis.
  
  
  CONCLUSIONS
  Laparoscopic colorectal resection was feasible in patients with sarcopenia.
authors.affiliation: Department of Surgery, Chita City Hospital , Chita, Aichi, Japan .
authors.forename: Akira
authors.initials: A
authors.lastname: Ouchi
authors.affiliation: Department of Surgery, Chita City Hospital , Chita, Aichi, Japan .
authors.forename: Masahiko
authors.initials: M
authors.lastname: Asano
authors.affiliation: Department of Surgery, Chita City Hospital , Chita, Aichi, Japan .
authors.forename: Keiya
authors.initials: K
authors.lastname: Aono
authors.affiliation: Department of Surgery, Chita City Hospital , Chita, Aichi, Japan .
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Watanabe
authors.affiliation: Department of Surgery, Chita City Hospital , Chita, Aichi, Japan .
authors.forename: Shingo
authors.initials: S
authors.lastname: Oya
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003082:Colectomy / Q000379:methods*; D015179:Colorectal Neoplasms / Q000150:complications / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D055948:Sarcopenia / Q000150:complications*; D016896:Treatment Outcome