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

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Abstract

Purpose

Incisional 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.

Methods

In 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.

Results

Forty-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.

Conclusion

Sarcobesity 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.

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Availability of data and material

The datasets analyzed during the current study are available from the corresponding author on reasonable request.

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Acknowledgements

We would like to thank Editage (www.editage.com) for English language editing.

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Authors and Affiliations

  1. Department of Surgery, Tokyo General Hospital, Tokyo, Japan

    Yasuhiro Takano, Shu Tsukihara, Sumika Takahashi, Kobayashi Yasunobu, Hironori Kanno & Nobuyoshi Hanyu

  2. Department of Surgery, Kasai Shoikai Hospital, Tokyo, Japan

    Keita Kodera & Ryota Saito

Authors
  1. Yasuhiro Takano
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  2. Keita Kodera
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  8. Nobuyoshi Hanyu
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Contributions

Yasuhiro Takano and Keita Kodera developed the main concept and designed the study. Yasuhiro Takano, Keita Kodera, Shu Tsukihara, Sumika Takahashi, Yasunobu Kobayashi, Hironori Kanno, Ryota Saito, and Nobuyoshi Hanyu were responsible for acquisition of clinicopathological data. Yasuhiro Takano and Keita Kodera performed data analysis and interpretation. Yasuhiro Takano, Keita Kodera, and Nobuyoshi Hanyu drafted the manuscript. Nobuyoshi Hanyu contributed to editing and critical revision for important intellectual contents.

Corresponding author

Correspondence to Yasuhiro Takano.

Ethics declarations

Ethics approval

The protocol for the present study was approved by the Ethics Committee of Tokyo General Hospital (no. 22-9) and Kasai Shoikai Hospital (no. R4-1) and conducted in accordance with the tenets of the Declaration of Helsinki.

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Informed consent was obtained from all individual participants included in the study.

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The authors declare no competing interests.

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Takano, Y., Kodera, K., Tsukihara, S. et al. The impact of sarcobesity on incisional hernia after laparoscopic colorectal cancer surgery. Int J Colorectal Dis 38, 124 (2023). https://doi.org/10.1007/s00384-023-04424-7

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