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01-05-2020 | Rectal Cancer | Original Article

Cross-sectional areas of rectus abdominis and psoas muscles reduces following surgery in rectal cancer patients

Authors: Oguz Yuksel, Naciye Sinem Gezer, Aras Emre Canda, Hakki Celik, Birsu Topcugil, Merve Demir Benli, Tayfun Bisgin, Zumre Arican Alicikus, Funda Obuz

Published in: Supportive Care in Cancer | Issue 5/2020

Abstract

Purpose

To evaluate the trophic changes in rectus abdominis and psoas muscles in patients who underwent open or laparoscopic rectum resection for rectal cancer.

Methods

We retrospectively analyzed preoperative staging computerized tomographies (CT) and postoperative first oncological follow-up CTs of the patients who underwent low anterior resection (LAR) for rectal cancer from 2010 through 2015. We measured cross-sectional area of left and right rectus abdominis muscles from two levels (above and below umbilicus) where they are widest and psoas muscle at mid-level of the fourth lumbar vertebral body in axial CT images and compared preoperative and postoperative measurements. We investigated the effects of age, sex, administration of preoperative chemoradiotherapy (CRT), type of surgery (open or laparoscopic), or construction of a diverting ileostomy on cross-sectional muscle area changes.

Results

After applying inclusion and exclusion criteria 60 patients found to be eligible for the study. Muscle areas of all measurement sites were reduced postoperatively compared to paired preoperative values. There was no significant effect of age, sex, administration of preoperative CRT, type of surgery (open or laparoscopic), or construction of a diverting ileostomy to muscle cross-sectional area reductions.

Conclusion

Cross-sectional areas of the rectus abdominis and the psoas muscles of rectal cancer patients reduces following rectum resection which indicates atrophy of these muscles. Clinicians should be aware of this problem and focus on prevention of muscle atrophy during the treatment of rectal cancer patients.

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Title: Cross-sectional areas of rectus abdominis and psoas muscles reduces following surgery in rectal cancer patients
Authors: Oguz Yuksel
Naciye Sinem Gezer
Aras Emre Canda
Hakki Celik
Birsu Topcugil
Merve Demir Benli
Tayfun Bisgin
Zumre Arican Alicikus
Funda Obuz
Publication date: 01-05-2020
Publisher: Springer Berlin Heidelberg
Keywords: Rectal Cancer
Rectal Cancer
Ileostomy
Published in: Supportive Care in Cancer / Issue 5/2020
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-019-05062-y

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