PMID- 35532590 OWN - NLM STAT- MEDLINE DCOM- 20220511 LR - 20220716 IS - 0971-5916 (Print) IS - 0975-9174 (Electronic) IS - 0971-5916 (Linking) VI - 154 IP - 5 DP - 2021 May TI - Retrospective study of the effect of sarcopaenia on post-operative outcomes in patients undergoing thoracic surgery. PG - 723-731 LID - 10.4103/ijmr.IJMR_909_19 [doi] AB - BACKGROUND & OBJECTIVES: Sarcopaenia refers to the pathological loss of muscle mass that may be observed in malnutrition, immobility, chronic disease, particularly chronic obstructive pulmonary disease and malignancies. A relationship has been identified between sarcopaenia and thoracic surgery. The aim of the present study was to investigate the relationship between density and area of the psoas major muscle (PSM), the pectoralis major and minor muscles (PEC) and the post-operative morbidity, mortality and survival of patients undergoing anatomic lung resection. METHODS: A retrospective review of the medical record data of the patients who underwent lung resection was conducted in between 2009 and 2018. The study included patients who underwent upper abdominal computed tomography (CT) for the measurement of PSM and thoracic CT for PEC. The demographic data, laboratory test results, radiological findings and the survival data of the patients were recorded. RESULTS: Evaluation was made of 161 patients with available CT data. With the exception of mean PEC density, the PEC parameters (P=0.013-0.026), and PSM density (P=0.015) were significantly lower in the non-survivors than in the survivors. In general, the mean measurements of the PSM and PEC were seen to affect mortality (P=0.001-0.024). INTERPRETATION & CONCLUSIONS: The mean area and density measurements in the PSM, and particularly in the PEC, were determined to be significantly higher in patients who survived after lung cancer surgery, suggesting that sarcopaenia could be a useful predictor of post-operative mortality risk and survival. FAU - Karapinar, Kemal AU - Karapinar K AD - Department of Thoracic Surgery, Yedikule Training & Research Hospital for Chest Diseases & Surgery, Health Science University, Istanbul, Turkey. FAU - Toptas, Mehmet AU - Toptas M AD - Department of Anesthesiology, Yedikule Training & Research Hospital for Chest Diseases & Surgery, Health Science University, Istanbul, Turkey. FAU - Yurt, Sibel AU - Yurt S AD - Department of Chest Diseases, Yedikule Training & Research Hospital for Chest Diseases & Surgery, Health Science University, Istanbul, Turkey. FAU - Tuna, Lale AU - Tuna L AD - Department of Radiology, Yedikule Training & Research Hospital for Chest Diseases & Surgery, Health Science University, Istanbul, Turkey. FAU - Akkoc, Ibrahim AU - Akkoc I AD - Department of Anesthesiology, Haseki Training & Research Hospital, Health Science University, Istanbul, Turkey. LA - eng PT - Journal Article PL - India TA - Indian J Med Res JT - The Indian journal of medical research JID - 0374701 SB - IM MH - Humans MH - Psoas Muscles MH - Retrospective Studies MH - *Sarcopenia MH - *Thoracic Surgery MH - Tomography, X-Ray Computed PMC - PMC9210537 OTO - NOTNLM OT - Lung cancer OT - morbidity OT - mortality OT - sarcopaenia OT - thoracic surgery COIS- Conflicts of Interest: None. EDAT- 2022/05/10 06:00 MHDA- 2022/05/12 06:00 PMCR- 2021/11/01 CRDT- 2022/05/09 10:58 PHST- 2022/05/09 10:58 [entrez] PHST- 2022/05/10 06:00 [pubmed] PHST- 2022/05/12 06:00 [medline] PHST- 2021/11/01 00:00 [pmc-release] AID - IndianJMedRes_2021_154_5_723_344559 [pii] AID - IJMR-154-723 [pii] AID - 10.4103/ijmr.IJMR_909_19 [doi] PST - ppublish SO - Indian J Med Res. 2021 May;154(5):723-731. doi: 10.4103/ijmr.IJMR_909_19.