{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T14:28:04Z","timestamp":1782743284220,"version":"3.54.5"},"reference-count":21,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2019,6,17]],"date-time":"2019-06-17T00:00:00Z","timestamp":1560729600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the impact of visceral obesity quantified by preoperative computed tomography on short\u2010term postoperative outcomes compared with body mass index (BMI) in stage I\u2013III colon adenocarcinoma patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this retrospective study, 107 patients treated with radical colectomy for stage I\u2013III colon adenocarcinoma were classified as obese or non\u2010obese by computed tomography\u2010based measures or BMI (obese: BMI \u226528\u2009kg\/m<jats:sup>2<\/jats:sup>, visceral fat area (VFA) to subcutaneous fat area ratio (V\/S)\u2009\u22650.4, and VFA \u2265100\u2009cm<jats:sup>2<\/jats:sup>). Clinical variables, operation time, estimated blood loss, pathologic stage, histologic grade, postoperative complications, postoperative stay and hospitalization expenses were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Obese patients by VFA were more likely to have higher postoperative complication rate (32.9 versus 11.8%, <jats:italic>P<\/jats:italic>\u2009=\u20090.021), have longer operation time (184.6\u2009\u00b1\u200949.5 versus 163.1\u2009\u00b1\u200944.1 min, <jats:italic>P<\/jats:italic>\u2009=\u20090.033), postoperative stay (15.21\u2009\u00b1\u20097.59 versus 12.29\u2009\u00b1\u20095.40 days, <jats:italic>P<\/jats:italic>\u2009=\u20090.047) and cost more ($10 758.7\u2009\u00b1\u20093271.7 versus $9232.0\u2009\u00b1\u20092994.6, <jats:italic>P<\/jats:italic>\u2009=\u20090.023) than non\u2010obese.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Visceral obesity graded by VFA is associated with increased postoperative morbidity, operation time, postoperative stay and hospitalization expenses for colon adenocarcinoma patients and may be superior to BMI or V\/S for the prediction of colon surgery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.15283","type":"journal-article","created":{"date-parts":[[2019,6,17]],"date-time":"2019-06-17T16:25:06Z","timestamp":1560788706000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Elevated visceral fat area is associated with adverse postoperative outcome of radical colectomy for colon adenocarcinoma patients"],"prefix":"10.1111","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1441-6256","authenticated-orcid":false,"given":"Ting\u2010Shuai","family":"Zhai","sequence":"first","affiliation":[{"name":"Department of General Surgery Qingdao Municipal Hospital, Dalian Medical University  Qingdao China"},{"name":"Department of Urology Shanghai Tenth People's Hospital of Tongji University, School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine, The First Affiliated Hospital of Henan University of Science and Technology  Luoyang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen\u2010Hao","family":"Ren","sequence":"additional","affiliation":[{"name":"Department of General Surgery Qingdao Municipal Hospital, Dalian Medical University  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qi","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of General Surgery Qingdao Municipal Hospital, Dalian Medical University  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of General Surgery Qingdao Municipal Hospital, Dalian Medical University  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei\u2010Zheng","family":"Mao","sequence":"additional","affiliation":[{"name":"Department of General Surgery Qingdao Municipal Hospital, Dalian Medical University  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,6,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-017-3362-9"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-015-2174-1"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-018-1858-1"},{"key":"e_1_2_6_5_1","first-page":"339","article-title":"Obesity, outcomes and quality of care: body mass index increases the risk of wound\u2010related complications in colon cancer surgery","volume":"179","author":"Amri R","year":"2013","journal-title":"Am. 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