The sarcopenia is defined as a loss of muscle mass and a loss of muscle function ( strength or performance). Some studies showed that the sarcopenia increase the postoperative complications and the overall survival in abdominal surgery. But the sarcopenia is not evaluated in the Hepatobiliary surgery. This prospective, monconcentrique study aim to evaluate the prevalence of sarcopenia, and its associated morbimortality in hepatobiliary surgery for malignant or benign tumors.
Study Type
OBSERVATIONAL
Enrollment
45
CHU Angers
Angers, France
the number of patients with a sarcopenia before having a hepatobiliary surgery mesured by impedancemetry and by the muscular force or the speed walking
for the man : i/impedancemetry BMI\<8,87kg/m2 and ii/ a muscular force \< 30kg or a walking speed \<0,8m/s
Time frame: 1 month
the number of patients with a sarcopenia before having a hepatobiliary surgery mesured by impedancemetry and by the muscular force or the speed walking
for the woman: i/impedancemetry BMI\<6,42kg/m2 and ii/muscular force \< 20kg or a walking speed \<0,8m/s
Time frame: 1 month
comparison between the impedancemetry and the abdominopevis CT for the diagnosis of sarcopenia
* impedancemetry used to evaluate the muscular mass * abdominopelvis CT evualate the muscular mass by measuring the muscular area on the L3 section
Time frame: 3 months
comparison of the postoperatives complications using the clavien dindo classsification between the patient with sarcopenia and the patient without sarcopenia.
postoperatives complications evualuated according the clavien dindo classification are : death, nausea, vomit, need of nasogastric tube, liver failure with jaundice, ascites, liver encephalopathy, biliary fistula, biliary peritonitis, hernia, parietal abcess, urinary infection, urinary retention, hematoma, pulmonary embolism, pulmonary infection, pleural effusion, atelectasis, renal failure, hyponatremia, hypernatremia, hypokaliema, hyperkaliema the post operative complication evaluate
Time frame: 4 months
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