Sarcopenia predicts postoperative infection in patients undergoing hepato-biliary-pancreatic surgery

What is it about?

This study evaluated clinical characteristics and surgical outcomes of patients who underwent hepato-biliary-pancreatic (BILI) surgery and investigated predictors of outcomes by focusing on sarcopenia. Sarcopenia and diabetes mellitus are independent preoperative predictors of infection after BILI surgery. Earlier diagnosis of and therapeutic intervention for sarcopenia and diabetes mellitus could be useful in the development of comprehensive approaches to managing perioperative care.

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Why is it important?

We believe that our study makes a significant contribution to the literature because BILI surgery is known as one of the most complicated surgical procedures in the field of gastroenterological surgery. The operative technique, surgical instruments, and perioperative management have evolved considerably over the years; however, the operative mortality and morbidity rates after BILI surgery remain high, even at high-volume centers. Preoperative assessment of prognostic factors for postoperative complications is therefore required to determine surgical eligibility. However, there are few global, acceptable, and clear standards that can objectively and precisely predict postoperative clinical outcomes after BILI surgery.