Evidence map›Paper›PMID 37165256›Full record

ArticleInternational journal of colorectal disease2023

The impact of sarcobesity on incisional hernia after laparoscopic colorectal cancer surgery.

Yasuhiro Takano, Keita Kodera, Shu Tsukihara, Sumika Takahashi, Kobayashi Yasunobu, Hironori Kanno, Ryota Saito, Nobuyoshi Hanyu

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In one paragraph

Article in International journal of colorectal disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
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  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Yasuhiro TakanoDepartment of Surgery, Tokyo General Hospital, Tokyo, Japan. y.takano1864@jikei.ac.jp.ORCID http://orcid.org/0000-0001-7474-3833
Keita KoderaDepartment of Surgery, Kasai Shoikai Hospital, Tokyo, Japan.
Shu TsukiharaDepartment of Surgery, Tokyo General Hospital, Tokyo, Japan.
Sumika TakahashiDepartment of Surgery, Tokyo General Hospital, Tokyo, Japan.
Kobayashi YasunobuDepartment of Surgery, Tokyo General Hospital, Tokyo, Japan.
Hironori KannoDepartment of Surgery, Tokyo General Hospital, Tokyo, Japan.
Ryota SaitoDepartment of Surgery, Kasai Shoikai Hospital, Tokyo, Japan.
Nobuyoshi HanyuDepartment of Surgery, Tokyo General Hospital, Tokyo, Japan.
JR Tokyo General Hospital · JPKansai Rosai Hospital · JPThe Jikei University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIncisional hernia is a common complication after abdominal surgery, especially in obese patients. The aim of the present study was to evaluate the relationship between sarcobesity and incisional hernia development after laparoscopic colorectal cancer surgery.

methodsIn total, 262 patients who underwent laparoscopic colorectal cancer surgery were included in the present study. Univariate and multivariate analyses were performed to evaluate the independent risk factors for the development of incisional hernia. We then performed subgroup analyses to assess the impact of visceral obesity according to clinical variables on the development of incisional hernia in laparoscopic surgery for colorectal cancer surgery.

resultsForty-four patients (16.8%) developed incisional hernias after laparoscopic colorectal cancer surgery. In the univariate analysis, the development of incisional hernia was significantly associated with female sex (P = 0.046), subcutaneous obesity (P = 0.002), visceral obesity (P = 0.002), sarcobesity (P < 0.001), and wound infection (P < 0.001). In the multivariate analysis, sarcobesity (P < 0.001) and wound infection (P < 0.001) were independent predictors of incisional hernia. In subgroup analysis, the odds ratio of visceral obesity was the highest (13.1; 95% confidence interval [CI], 4.51-37.8, P < 0.001) in the subgroup of sarcopenia.

conclusionSarcobesity may be a strong predictor of the development of incisional hernia after laparoscopic surgery for colorectal cancer, suggesting the importance of body composition in the development of incisional hernia.

Indexed as

Colorectal NeoplasmsIncisional HerniaLaparoscopyWound InfectionFemaleHumansIncidenceObesityObesity, AbdominalPostoperative ComplicationsRetrospective StudiesRisk FactorsColorectal cancerIncisional herniaLaparoscopic surgerySarcobesity

Identifiers

PMID37165256
OpenAlexW4376132289

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.