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首页> 外文期刊>Surgical Endoscopy >Clinical impact of psoas muscle volume on the development of inguinal hernia after robot-assisted radical prostatectomy
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Clinical impact of psoas muscle volume on the development of inguinal hernia after robot-assisted radical prostatectomy

机译：PSOAS肌肉体积对机器人辅助自由基前列腺切除术后腹股沟疝发育的临床影响

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摘要

Background Sarcopenia, a syndrome characterized by the loss of skeletal muscle mass, has attracted attention in the field of oncology, as it reflects poor nutritional status. The present study aimed to determine the risk factors for postoperative inguinal hernia (PIH) development after robot-assisted laparoscopic radical prostatectomy (RARP) for prostate cancer, and discuss whether sarcopenia could be used as a sensitive predictor of PIH. Methods We reviewed the medical records of 147 patients who underwent RARP at our institution. The psoas muscle volume (PMV), as an indicator of sarcopenia, was quantified from computed tomography images using a 3-dimensional image analysis system. Multivariate cox regression analyses were performed to identify independent predictors of PIH, including pre- and peri-operative factors. Results The mean PMV was 393 cm(3), and the correlation coefficient between PMV and body mass index was 0.37 (p = 350 cm(3)and = 350 cm(3), and a low PMV was an independent risk factor for PIH. Thus, urologists should pay attention to the cumulative incidence of IH after RARP, especially in patients with a PMV < 350 cm(3).
机译：背景肌减少症是一种以骨骼肌重量减少为特征的综合征，由于其反映的营养状况不佳，已引起肿瘤学领域的关注。本研究旨在确定机器人辅助腹腔镜前列腺癌根治术（RARP）后腹股沟疝（PIH）发生的危险因素，并探讨肌细胞减少症是否可以作为PIH的敏感预测因子。方法回顾性分析我院147例RARP患者的病历。腰大肌体积（PMV）是肌肉减少症的一个指标，使用三维图像分析系统从计算机断层扫描图像中量化。进行多变量cox回归分析，以确定妊高征的独立预测因素，包括术前和围手术期因素。结果平均PMV为393cm（3），PMV与体重指数的相关系数为0.37（p=350cm（3）和350cm（3），PMV低是妊高征的独立危险因素。因此，泌尿科医生应注意RARP后IH的累积发病率，尤其是PMV<350 cm（3）的患者。

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  • 来源
    《Surgical Endoscopy》 |2021年第7期|共9页
  • 作者

    Otaki Tatsuya; Hasegawa Masanori; Yuzuriha Soichiro; Hanada Izumi; Nagao Kentaro; Umemoto Tatsuya; Shimizu Yuki; Kawakami Masayoshi; Nakajima Nobuyuki; Kim Hakushi; Nitta Masahiro; Hanai Kazuya; Kawamura Yoshiaki; Shoji Sunao; Miyajima Akira;

  • 作者单位

    Tokai Univ Dept Urol Sch Med 143 Shimokasuya Isehara Kanagawa 2591193 Japan;

    Tokai Univ Dept Urol Sch Med 143 Shimokasuya Isehara Kanagawa 2591193 Japan;

    Tokai Univ Dept Urol Sch Med 143 Shimokasuya Isehara Kanagawa 2591193 Japan;

    Tokai Univ Dept Urol Sch Med 143 Shimokasuya Isehara Kanagawa 2591193 Japan;

    Tokai Univ Dept Urol Sch Med 143 Shimokasuya Isehara Kanagawa 2591193 Japan;

    Tokai Univ Dept Urol Sch Med 143 Shimokasuya Isehara Kanagawa 2591193 Japan;

    Tokai Univ Dept Urol Sch Med 143 Shimokasuya Isehara Kanagawa 2591193 Japan;

    Tokai Univ Dept Urol Sch Med 143 Shimokasuya Isehara Kanagawa 2591193 Japan;

    Tokai Univ Dept Urol Sch Med 143 Shimokasuya Isehara Kanagawa 2591193 Japan;

    Tokai Univ Dept Urol Sch Med 143 Shimokasuya Isehara Kanagawa 2591193 Japan;

    Tokai Univ Dept Urol Sch Med 143 Shimokasuya Isehara Kanagawa 2591193 Japan;

    Tokai Univ Dept Urol Sch Med 143 Shimokasuya Isehara Kanagawa 2591193 Japan;

    Tokai Univ Dept Urol Sch Med 143 Shimokasuya Isehara Kanagawa 2591193 Japan;

    Tokai Univ Dept Urol Sch Med 143 Shimokasuya Isehara Kanagawa 2591193 Japan;

    Tokai Univ Dept Urol Sch Med 143 Shimokasuya Isehara Kanagawa 2591193 Japan;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 诊断学;
  • 关键词

    Psoas muscle volume; Sarcopenia; Prostate cancer; Inguinal hernia;

    机译：腰大肌体积;肌肉减少症;前列腺癌;腹股沟疝;

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