The effect of visceral fat mass on pancreatic fistula after pancreaticoduodenectomy

Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research
Chang Min ParkDong Sup Yoon

Abstract

Obesity is associated with perioperative complications and has been considered a risk factor for surgical outcomes of patients undergoing abdominal surgery. The aim of this study is to evaluate the impact of the amount of visceral fat on postoperative morbidity of patients who underwent pancreaticoduodenectomy (PD). We reviewed 181 patients who underwent surgery for periampullary lesions at the Department of Surgery, Gangnam Severance Hospital, Yonsei University Health System between January 2003 and June 2010. The visceral fat area (VFA) and subcutaneous fat area were calculated by computed tomography software. The mean body mass index (BMI) was 23.4 kg/m(2) (±3.1 kg/m(2)), and the mean VFA was 94.4 cm(2) (±49.5 cm(2)). The mean intraoperative blood loss, and the incidence of clinically relevant pancreatic fistula (grade B/C) and clinically relevant delayed gastric emptying (grade B/C) were significantly higher in the high-VFA group (≥100 cm(2)). In univariate analysis, the incidence of clinically relevant pancreatic fistula (grade B/C) was significantly higher in the high-BMI group (≥25 kg/m(2)), the high-VFA group(≥100 cm(2)), the large intraoperative blood loss and transfusion group, and in patients with pathology of nonpan...Continue Reading

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Citations

Aug 1, 2013·World Journal of Gastroenterology : WJG·Xiang-Song WuYing-Bin Liu
Apr 14, 2015·Hepatobiliary & Pancreatic Diseases International : HBPD INT·Xiang XiaZheng-Jun Qiu
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Sep 19, 2019·ANZ Journal of Surgery·Chathura B B RatnayakeSanjay Pandanaboyana
Jul 22, 2020·ANZ Journal of Surgery·Mario KopljarGoran Kondža
Aug 19, 2018·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Charles VanbruggheAlain Sauvanet
May 20, 2021·Updates in Surgery·Ying-Jui ChaoYan-Shen Shan
Jun 16, 2021·The Journal of Surgical Research·Bianka Saravana-BawanRachel G Khadaroo

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