The Role of Sarcopenia and Myosteatosis in Short- and Long-Term Outcomes Following Curative-Intent Surgery for Hepatocellular Carcinoma in a European Cohort

Cancers

Suekran Verhoeven¹  Wen-Jia Liu¹  Zoltan Czigany¹  Decan Jiang¹  Georg Wiltberger¹  Franziska Alexandra Meister¹  Lara Heij¹  Tom Florian Ulmer¹  Ulf Peter Neumann¹  Sven Arke Lang¹  Jan Bednarsch¹  Georg Lurje²  Philipp Bruners³ 

[1] Department of Surgery and Transplantation, Faculty of Medicine, University Hospital RWTH Aachen, 52074 Aachen, Germany;Department of Surgery, Campus Charité Mitte

[2] Campus Virchow-Klinikum, Charité-Universitätsmedizin, 13353 Berlin, Germany;Institute of Radiology, Faculty of Medicine, University Hospital RWTH Aachen, 52074 Aachen, Germany;

关键词: HCC;    body composition;    myosteatosis;    sarcopenia;    liver resection;   

DOI  :  10.3390/cancers14030720

来源: DOAJ

【 摘 要 】

Alterations of body composition, especially decreased muscle mass (sarcopenia) and impaired muscle quality (myosteatosis), are associated with inferior outcomes in various clinical conditions. The data of 100 consecutive patients who underwent partial hepatectomy for hepatocellular carcinoma (HCC) at a German university medical centre were retrospectively analysed (May 2008–December 2019). Myosteatosis and sarcopenia were evaluated using preoperative computed-tomography-based segmentation. We investigated the predictive role of alterations in body composition on perioperative morbidity, mortality and long-term oncological outcome. Myosteatotic patients were significantly inferior in terms of major postoperative complications (Clavien–Dindo ≥ 3b; 25% vs. 5%, p = 0.007), and myosteatosis could be confirmed as an independent risk factor for perioperative morbidity in multivariate analysis (odds ratio: 6.184, confidence interval: 1.184–32.305, p = 0.031). Both sarcopenic and myosteatotic patients received more intraoperative blood transfusions (1.6 ± 22 vs. 0.3 ± 1 units, p = 0.000; 1.4 ± 2.1 vs. 0.3 ± 0.8 units, respectively, p = 0.002). In terms of long-term overall and recurrence-free survival, no statistically significant differences could be found between the groups, although survival was tendentially worse in patients with reduced muscle density (median survival: 41 vs. 60 months, p = 0.223). This study confirms the prognostic role of myosteatosis in patients suffering from HCC with a particularly strong value in the perioperative phase and supports the role of muscle quality over quantity in this setting. Further studies are warranted to validate these findings.

【 授权许可】

Unknown