Abdomen anatomic characteristics on CT scans as predictive markers for short-term complications following radical resection of colorectal cancer

BackgroundPrediction and management of short-term postoperative complications in patients with colorectal cancer are essential in postoperative rehabilitation. Through CT scan images, we can easily measure some parameters of abdomen anatomic characteristics. This study aimed to assess whether there...

Full description

Bibliographic Details
Main Authors: Xiao Zhang, Zhengyang Yang, Cong Meng, Jiale Gao, Yishan Liu, Bohao Shi, Liting Sun, Guocong Wu, Hongwei Yao, Zhongtao Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2022.899179/full
_version_ 1818473844260732928
author Xiao Zhang
Zhengyang Yang
Cong Meng
Jiale Gao
Yishan Liu
Bohao Shi
Liting Sun
Guocong Wu
Hongwei Yao
Zhongtao Zhang
author_facet Xiao Zhang
Zhengyang Yang
Cong Meng
Jiale Gao
Yishan Liu
Bohao Shi
Liting Sun
Guocong Wu
Hongwei Yao
Zhongtao Zhang
author_sort Xiao Zhang
collection DOAJ
description BackgroundPrediction and management of short-term postoperative complications in patients with colorectal cancer are essential in postoperative rehabilitation. Through CT scan images, we can easily measure some parameters of abdomen anatomic characteristics. This study aimed to assess whether there is a relationship between the abdomen anatomic characteristics and short-term postoperative complications.Materials and methodsWe conducted a retrospective study. Eighty patients in each complication group and non-complication group were recruited with propensity score match. Demographics, perioperative laboratory results and surgical information were collected and compared between groups with univariate analysis. Significant elements were brought into subsequent logistic regression analysis and ROC analysis for further identification.ResultsUnivariate analysis showed that preoperative white blood cells, preoperative neutrophil counts, rectus abdominis thickness (RAT), subcutaneous fat thickness (SFT), and abdomen depth (AD) were significantly different between the complication group and non-complication group. Logistic regression analysis demonstrated that higher RAT (p = 0.002), SFT (p < 0.001) and AD (p < 0.001) independently predicted the incidence of short-term postoperative complications.ConclusionsIn this study on patients undergoing radical resection of colorectal cancer, abdomen anatomic characteristics including higher RAT, SFT and AD are associated with an increased risk of short-term postoperative complications.
first_indexed 2024-04-14T04:28:03Z
format Article
id doaj.art-16bb9da3441e4e9eb5b9064a370ceff6
institution Directory Open Access Journal
issn 2296-875X
language English
last_indexed 2024-04-14T04:28:03Z
publishDate 2022-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Surgery
spelling doaj.art-16bb9da3441e4e9eb5b9064a370ceff62022-12-22T02:12:11ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-07-01910.3389/fsurg.2022.899179899179Abdomen anatomic characteristics on CT scans as predictive markers for short-term complications following radical resection of colorectal cancerXiao ZhangZhengyang YangCong MengJiale GaoYishan LiuBohao ShiLiting SunGuocong WuHongwei YaoZhongtao ZhangBackgroundPrediction and management of short-term postoperative complications in patients with colorectal cancer are essential in postoperative rehabilitation. Through CT scan images, we can easily measure some parameters of abdomen anatomic characteristics. This study aimed to assess whether there is a relationship between the abdomen anatomic characteristics and short-term postoperative complications.Materials and methodsWe conducted a retrospective study. Eighty patients in each complication group and non-complication group were recruited with propensity score match. Demographics, perioperative laboratory results and surgical information were collected and compared between groups with univariate analysis. Significant elements were brought into subsequent logistic regression analysis and ROC analysis for further identification.ResultsUnivariate analysis showed that preoperative white blood cells, preoperative neutrophil counts, rectus abdominis thickness (RAT), subcutaneous fat thickness (SFT), and abdomen depth (AD) were significantly different between the complication group and non-complication group. Logistic regression analysis demonstrated that higher RAT (p = 0.002), SFT (p < 0.001) and AD (p < 0.001) independently predicted the incidence of short-term postoperative complications.ConclusionsIn this study on patients undergoing radical resection of colorectal cancer, abdomen anatomic characteristics including higher RAT, SFT and AD are associated with an increased risk of short-term postoperative complications.https://www.frontiersin.org/articles/10.3389/fsurg.2022.899179/fullColorectal cancerpostoperative complicationabdomen anatomic characteristicpropensity score matchcomplication prediction
spellingShingle Xiao Zhang
Zhengyang Yang
Cong Meng
Jiale Gao
Yishan Liu
Bohao Shi
Liting Sun
Guocong Wu
Hongwei Yao
Zhongtao Zhang
Abdomen anatomic characteristics on CT scans as predictive markers for short-term complications following radical resection of colorectal cancer
Frontiers in Surgery
Colorectal cancer
postoperative complication
abdomen anatomic characteristic
propensity score match
complication prediction
title Abdomen anatomic characteristics on CT scans as predictive markers for short-term complications following radical resection of colorectal cancer
title_full Abdomen anatomic characteristics on CT scans as predictive markers for short-term complications following radical resection of colorectal cancer
title_fullStr Abdomen anatomic characteristics on CT scans as predictive markers for short-term complications following radical resection of colorectal cancer
title_full_unstemmed Abdomen anatomic characteristics on CT scans as predictive markers for short-term complications following radical resection of colorectal cancer
title_short Abdomen anatomic characteristics on CT scans as predictive markers for short-term complications following radical resection of colorectal cancer
title_sort abdomen anatomic characteristics on ct scans as predictive markers for short term complications following radical resection of colorectal cancer
topic Colorectal cancer
postoperative complication
abdomen anatomic characteristic
propensity score match
complication prediction
url https://www.frontiersin.org/articles/10.3389/fsurg.2022.899179/full
work_keys_str_mv AT xiaozhang abdomenanatomiccharacteristicsonctscansaspredictivemarkersforshorttermcomplicationsfollowingradicalresectionofcolorectalcancer
AT zhengyangyang abdomenanatomiccharacteristicsonctscansaspredictivemarkersforshorttermcomplicationsfollowingradicalresectionofcolorectalcancer
AT congmeng abdomenanatomiccharacteristicsonctscansaspredictivemarkersforshorttermcomplicationsfollowingradicalresectionofcolorectalcancer
AT jialegao abdomenanatomiccharacteristicsonctscansaspredictivemarkersforshorttermcomplicationsfollowingradicalresectionofcolorectalcancer
AT yishanliu abdomenanatomiccharacteristicsonctscansaspredictivemarkersforshorttermcomplicationsfollowingradicalresectionofcolorectalcancer
AT bohaoshi abdomenanatomiccharacteristicsonctscansaspredictivemarkersforshorttermcomplicationsfollowingradicalresectionofcolorectalcancer
AT litingsun abdomenanatomiccharacteristicsonctscansaspredictivemarkersforshorttermcomplicationsfollowingradicalresectionofcolorectalcancer
AT guocongwu abdomenanatomiccharacteristicsonctscansaspredictivemarkersforshorttermcomplicationsfollowingradicalresectionofcolorectalcancer
AT hongweiyao abdomenanatomiccharacteristicsonctscansaspredictivemarkersforshorttermcomplicationsfollowingradicalresectionofcolorectalcancer
AT zhongtaozhang abdomenanatomiccharacteristicsonctscansaspredictivemarkersforshorttermcomplicationsfollowingradicalresectionofcolorectalcancer