Subcutaneous fat area as a risk factor for extraction site incisional hernia following gastrectomy for gastric cancer
Purpose To identify the incidence of extraction site incisional hernia following gastrectomy for gastric cancer and its significant risk factors, including the subcutaneous fat area. Methods We reviewed data gathered prospectively on patients with gastric cancer, who underwent gastrectomy between 20...
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| Veröffentlicht in: | Surgery today (Tokyo, Japan) Japan), 2020-11, Vol.50 (11), p.1418-1426 |
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| creator | Valencia, Sheryl Shindo, Koji Moriyama, Taiki Ohuchida, Kenoki Tsurumaru, Daisuke Chua, Michael Chen, Hsiang-Chih Yao, Lei Ohtsuka, Takao Shimizu, Shuji Nakamura, Masafumi |
| description | Purpose
To identify the incidence of extraction site incisional hernia following gastrectomy for gastric cancer and its significant risk factors, including the subcutaneous fat area.
Methods
We reviewed data gathered prospectively on patients with gastric cancer, who underwent gastrectomy between 2008 and 2012 at Kyushu University Hospital, Fukuoka, Japan. The subcutaneous fat area (SFA) and visceral fat area (VFA) were measured using axial computed tomography at the level of the L4 and L3 transverse processes, and the L2–L3 intervertebral disc. The primary endpoint of the rate of extraction site incisional hernia was based on the computed tomography and clinical data including hospital follow-up reports.
Results
After applying the inclusion and exclusion criteria, 320 patients were included in this retrospective analysis: 3.1% (10/320) had extraction site incisional hernias after a mean follow-up of 11 months. Multivariate analysis revealed that age and the SFA were independent risk factors (age ≥ 70.5 years:
P
= .013, odds ratio: 9.116, 95% confidence interval 1.581–52.553; L4 SFA ≥ 124 cm
2
:
P
= .004, odds ratio: 13.752, 95% confidence interval 2.290–82.582).
Conclusion
Age and the SFA were independent risk factors for extraction site incisional hernia in patients undergoing gastrectomy for gastric cancer. |
| doi_str_mv | 10.1007/s00595-020-02039-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2409194106</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2409194106</sourcerecordid><originalsourceid>FETCH-LOGICAL-c414t-c70995419b79d3559ce71f9246a7f97b2101a34efb1a20465947ed2c01c5184b3</originalsourceid><addsrcrecordid>eNp9kD1PwzAQhi0EEqXwB5g8sgTuHCepR1TxJVViAGbLcZ3ikibF54j23-M2zAyn02u9z0l-GLtGuEWA6o4AClVkIOAwucp2J2yCMi8zMcP8lE1AScxQKDxnF0RrACFnABM2vA21HaLpXD8Qb0zkJjjDDXHDg6ev9GRjH3iTxu1iSMn3HScfHfed9ZSSafmnC503qdW2_Y_vVnxlKAaX0M3-yB6zt9yazrpwyc4a05K7-ttT9vH48D5_zhavTy_z-0VmJcqY2QqUKiSqulLLvCiUdRU2SsjSVI2qaoGAJpeuqdEIkGWhZOWWwgLaAmeyzqfsZry7Df334CjqjSfr2nb8rxYSFCYzUKaqGKs29ETBNXob_MaEvUbQB8d6dKyTX310rHcJykeIUrlbuaDX_RCSEPqP-gXBCoEb</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2409194106</pqid></control><display><type>article</type><title>Subcutaneous fat area as a risk factor for extraction site incisional hernia following gastrectomy for gastric cancer</title><source>SpringerLink Journals</source><creator>Valencia, Sheryl ; Shindo, Koji ; Moriyama, Taiki ; Ohuchida, Kenoki ; Tsurumaru, Daisuke ; Chua, Michael ; Chen, Hsiang-Chih ; Yao, Lei ; Ohtsuka, Takao ; Shimizu, Shuji ; Nakamura, Masafumi</creator><creatorcontrib>Valencia, Sheryl ; Shindo, Koji ; Moriyama, Taiki ; Ohuchida, Kenoki ; Tsurumaru, Daisuke ; Chua, Michael ; Chen, Hsiang-Chih ; Yao, Lei ; Ohtsuka, Takao ; Shimizu, Shuji ; Nakamura, Masafumi</creatorcontrib><description>Purpose
To identify the incidence of extraction site incisional hernia following gastrectomy for gastric cancer and its significant risk factors, including the subcutaneous fat area.
Methods
We reviewed data gathered prospectively on patients with gastric cancer, who underwent gastrectomy between 2008 and 2012 at Kyushu University Hospital, Fukuoka, Japan. The subcutaneous fat area (SFA) and visceral fat area (VFA) were measured using axial computed tomography at the level of the L4 and L3 transverse processes, and the L2–L3 intervertebral disc. The primary endpoint of the rate of extraction site incisional hernia was based on the computed tomography and clinical data including hospital follow-up reports.
Results
After applying the inclusion and exclusion criteria, 320 patients were included in this retrospective analysis: 3.1% (10/320) had extraction site incisional hernias after a mean follow-up of 11 months. Multivariate analysis revealed that age and the SFA were independent risk factors (age ≥ 70.5 years:
P
= .013, odds ratio: 9.116, 95% confidence interval 1.581–52.553; L4 SFA ≥ 124 cm
2
:
P
= .004, odds ratio: 13.752, 95% confidence interval 2.290–82.582).
Conclusion
Age and the SFA were independent risk factors for extraction site incisional hernia in patients undergoing gastrectomy for gastric cancer.</description><identifier>ISSN: 0941-1291</identifier><identifier>EISSN: 1436-2813</identifier><identifier>DOI: 10.1007/s00595-020-02039-x</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Medicine ; Medicine & Public Health ; Original Article ; Surgery ; Surgical Oncology</subject><ispartof>Surgery today (Tokyo, Japan), 2020-11, Vol.50 (11), p.1418-1426</ispartof><rights>Springer Nature Singapore Pte Ltd. 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c414t-c70995419b79d3559ce71f9246a7f97b2101a34efb1a20465947ed2c01c5184b3</citedby><cites>FETCH-LOGICAL-c414t-c70995419b79d3559ce71f9246a7f97b2101a34efb1a20465947ed2c01c5184b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00595-020-02039-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00595-020-02039-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids></links><search><creatorcontrib>Valencia, Sheryl</creatorcontrib><creatorcontrib>Shindo, Koji</creatorcontrib><creatorcontrib>Moriyama, Taiki</creatorcontrib><creatorcontrib>Ohuchida, Kenoki</creatorcontrib><creatorcontrib>Tsurumaru, Daisuke</creatorcontrib><creatorcontrib>Chua, Michael</creatorcontrib><creatorcontrib>Chen, Hsiang-Chih</creatorcontrib><creatorcontrib>Yao, Lei</creatorcontrib><creatorcontrib>Ohtsuka, Takao</creatorcontrib><creatorcontrib>Shimizu, Shuji</creatorcontrib><creatorcontrib>Nakamura, Masafumi</creatorcontrib><title>Subcutaneous fat area as a risk factor for extraction site incisional hernia following gastrectomy for gastric cancer</title><title>Surgery today (Tokyo, Japan)</title><addtitle>Surg Today</addtitle><description>Purpose
To identify the incidence of extraction site incisional hernia following gastrectomy for gastric cancer and its significant risk factors, including the subcutaneous fat area.
Methods
We reviewed data gathered prospectively on patients with gastric cancer, who underwent gastrectomy between 2008 and 2012 at Kyushu University Hospital, Fukuoka, Japan. The subcutaneous fat area (SFA) and visceral fat area (VFA) were measured using axial computed tomography at the level of the L4 and L3 transverse processes, and the L2–L3 intervertebral disc. The primary endpoint of the rate of extraction site incisional hernia was based on the computed tomography and clinical data including hospital follow-up reports.
Results
After applying the inclusion and exclusion criteria, 320 patients were included in this retrospective analysis: 3.1% (10/320) had extraction site incisional hernias after a mean follow-up of 11 months. Multivariate analysis revealed that age and the SFA were independent risk factors (age ≥ 70.5 years:
P
= .013, odds ratio: 9.116, 95% confidence interval 1.581–52.553; L4 SFA ≥ 124 cm
2
:
P
= .004, odds ratio: 13.752, 95% confidence interval 2.290–82.582).
Conclusion
Age and the SFA were independent risk factors for extraction site incisional hernia in patients undergoing gastrectomy for gastric cancer.</description><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><issn>0941-1291</issn><issn>1436-2813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kD1PwzAQhi0EEqXwB5g8sgTuHCepR1TxJVViAGbLcZ3ikibF54j23-M2zAyn02u9z0l-GLtGuEWA6o4AClVkIOAwucp2J2yCMi8zMcP8lE1AScxQKDxnF0RrACFnABM2vA21HaLpXD8Qb0zkJjjDDXHDg6ev9GRjH3iTxu1iSMn3HScfHfed9ZSSafmnC503qdW2_Y_vVnxlKAaX0M3-yB6zt9yazrpwyc4a05K7-ttT9vH48D5_zhavTy_z-0VmJcqY2QqUKiSqulLLvCiUdRU2SsjSVI2qaoGAJpeuqdEIkGWhZOWWwgLaAmeyzqfsZry7Df334CjqjSfr2nb8rxYSFCYzUKaqGKs29ETBNXob_MaEvUbQB8d6dKyTX310rHcJykeIUrlbuaDX_RCSEPqP-gXBCoEb</recordid><startdate>20201101</startdate><enddate>20201101</enddate><creator>Valencia, Sheryl</creator><creator>Shindo, Koji</creator><creator>Moriyama, Taiki</creator><creator>Ohuchida, Kenoki</creator><creator>Tsurumaru, Daisuke</creator><creator>Chua, Michael</creator><creator>Chen, Hsiang-Chih</creator><creator>Yao, Lei</creator><creator>Ohtsuka, Takao</creator><creator>Shimizu, Shuji</creator><creator>Nakamura, Masafumi</creator><general>Springer Singapore</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20201101</creationdate><title>Subcutaneous fat area as a risk factor for extraction site incisional hernia following gastrectomy for gastric cancer</title><author>Valencia, Sheryl ; Shindo, Koji ; Moriyama, Taiki ; Ohuchida, Kenoki ; Tsurumaru, Daisuke ; Chua, Michael ; Chen, Hsiang-Chih ; Yao, Lei ; Ohtsuka, Takao ; Shimizu, Shuji ; Nakamura, Masafumi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c414t-c70995419b79d3559ce71f9246a7f97b2101a34efb1a20465947ed2c01c5184b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Valencia, Sheryl</creatorcontrib><creatorcontrib>Shindo, Koji</creatorcontrib><creatorcontrib>Moriyama, Taiki</creatorcontrib><creatorcontrib>Ohuchida, Kenoki</creatorcontrib><creatorcontrib>Tsurumaru, Daisuke</creatorcontrib><creatorcontrib>Chua, Michael</creatorcontrib><creatorcontrib>Chen, Hsiang-Chih</creatorcontrib><creatorcontrib>Yao, Lei</creatorcontrib><creatorcontrib>Ohtsuka, Takao</creatorcontrib><creatorcontrib>Shimizu, Shuji</creatorcontrib><creatorcontrib>Nakamura, Masafumi</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery today (Tokyo, Japan)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Valencia, Sheryl</au><au>Shindo, Koji</au><au>Moriyama, Taiki</au><au>Ohuchida, Kenoki</au><au>Tsurumaru, Daisuke</au><au>Chua, Michael</au><au>Chen, Hsiang-Chih</au><au>Yao, Lei</au><au>Ohtsuka, Takao</au><au>Shimizu, Shuji</au><au>Nakamura, Masafumi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Subcutaneous fat area as a risk factor for extraction site incisional hernia following gastrectomy for gastric cancer</atitle><jtitle>Surgery today (Tokyo, Japan)</jtitle><stitle>Surg Today</stitle><date>2020-11-01</date><risdate>2020</risdate><volume>50</volume><issue>11</issue><spage>1418</spage><epage>1426</epage><pages>1418-1426</pages><issn>0941-1291</issn><eissn>1436-2813</eissn><abstract>Purpose
To identify the incidence of extraction site incisional hernia following gastrectomy for gastric cancer and its significant risk factors, including the subcutaneous fat area.
Methods
We reviewed data gathered prospectively on patients with gastric cancer, who underwent gastrectomy between 2008 and 2012 at Kyushu University Hospital, Fukuoka, Japan. The subcutaneous fat area (SFA) and visceral fat area (VFA) were measured using axial computed tomography at the level of the L4 and L3 transverse processes, and the L2–L3 intervertebral disc. The primary endpoint of the rate of extraction site incisional hernia was based on the computed tomography and clinical data including hospital follow-up reports.
Results
After applying the inclusion and exclusion criteria, 320 patients were included in this retrospective analysis: 3.1% (10/320) had extraction site incisional hernias after a mean follow-up of 11 months. Multivariate analysis revealed that age and the SFA were independent risk factors (age ≥ 70.5 years:
P
= .013, odds ratio: 9.116, 95% confidence interval 1.581–52.553; L4 SFA ≥ 124 cm
2
:
P
= .004, odds ratio: 13.752, 95% confidence interval 2.290–82.582).
Conclusion
Age and the SFA were independent risk factors for extraction site incisional hernia in patients undergoing gastrectomy for gastric cancer.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><doi>10.1007/s00595-020-02039-x</doi><tpages>9</tpages></addata></record> |
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| language | eng |
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| subjects | Medicine Medicine & Public Health Original Article Surgery Surgical Oncology |
| title | Subcutaneous fat area as a risk factor for extraction site incisional hernia following gastrectomy for gastric cancer |
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