Hepatobiliary Disease, Postoperative Complications, Sarcopenia, Surgery
Conditions
Brief summary
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.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* hepatobiliary surgery * scheduled surgery * oral consent
Exclusion criteria
* pregnancy * patient under low protection * emergency surgery * hepatic encephalopathy stage II, III and IV
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the number of patients with a sarcopenia before having a hepatobiliary surgery mesured by impedancemetry and by the muscular force or the speed walking | 1 month | for the man : i/impedancemetry BMI\<8,87kg/m2 and ii/ a muscular force \< 30kg or a walking speed \<0,8m/s |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| comparison between the impedancemetry and the abdominopevis CT for the diagnosis of sarcopenia | 3 months | * impedancemetry used to evaluate the muscular mass * abdominopelvis CT evualate the muscular mass by measuring the muscular area on the L3 section |
| comparison of the postoperatives complications using the clavien dindo classsification between the patient with sarcopenia and the patient without sarcopenia. | 4 months | 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 |
Countries
France