{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T08:34:43Z","timestamp":1774600483074,"version":"3.50.1"},"reference-count":24,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2018,3,22]],"date-time":"2018-03-22T00:00:00Z","timestamp":1521676800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2018,3,22]],"date-time":"2018-03-22T00:00:00Z","timestamp":1521676800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dig Surg"],"published-print":{"date-parts":[[2019]]},"abstract":"<b><i>Aim:<\/i><\/b> To determine the relationship of visceral fat (VF) with the surgical outcome of the patients with colorectal cancer (CRC) submitted to curative surgery. <b><i>Methods:<\/i><\/b> Retrospective analysis of all patients submitted to CRC surgery during 3 years with a minimum of 5 years of follow-up. We assessed the length of hospital stay, complications, pathologic reports, surgical re-interventions and hospital re-admissions, relapses, survival time and disease-free time. VF was calculated based on patients\u2019 pre-operative CT-scan. The patients were divided into quartiles according to the VF area. Linear regression models and logistic regression models were used to establish a relationship between VF and all data collected. <b><i>Results:<\/i><\/b> The study included 199 patients (129 with colon cancer [CC] and 70 with rectal cancer). The average area of VF was 115.7 cm<sup>2<\/sup>. Patients with CRC revealed a direct relationship between VF and postoperative complications (<i>p<\/i> = 0.043), anastomotic leakage (<i>p<\/i> = 0.009) and re-operation (<i>p\u00a0<\/i>= 0.005). The subgroup of patients with CC had an inverse association between VF and lymph nodes harvested (<i>p<\/i> = 0.027). Survival analyses did not reveal significant differences. <b><i>Conclusion:<\/i><\/b> VF has an influence on postoperative complications, anastomotic leakage and re-operation. A negative influence of VF on lymph nodes harvested was observed on CC patients.<\/jats:p>","DOI":"10.1159\/000486143","type":"journal-article","created":{"date-parts":[[2018,3,22]],"date-time":"2018-03-22T22:01:17Z","timestamp":1521756077000},"page":"33-40","source":"Crossref","is-referenced-by-count":31,"title":["Influence of Visceral Fat in the Outcomes of Colorectal Cancer"],"prefix":"10.1159","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9167-3256","authenticated-orcid":false,"given":"Andr\u00e9","family":"Goulart","sequence":"first","affiliation":[]},{"given":"Nuno","family":"Malheiro","sequence":"additional","affiliation":[]},{"given":"Hugo","family":"Rios","sequence":"additional","affiliation":[]},{"given":"Nuno","family":"Sousa","sequence":"additional","affiliation":[]},{"given":"Pedro","family":"Le\u00e3o","sequence":"additional","affiliation":[]}],"member":"127","published-online":{"date-parts":[[2018,3,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-789X.2007.00422.x"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1210\/edrv-14-1-72"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-015-2280-0"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/80.2.271"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.diii.2013.04.006"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-006-9084-9"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-008-9891-4"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-008-9395-0"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-015-2834-z"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-015-2174-1"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.3393\/ac.2016.32.1.20"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-015-3085-6"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1007\/s12029-015-9709-0"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-011-1333-2"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1111\/ans.13132"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-008-9366-5"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-008-0407-9"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-013-1803-9"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2011.117"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.12611"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1177\/107327481001700107"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12140"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-16-0764"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2016.0732"}],"container-title":["Digestive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/486143","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/486143","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:30:37Z","timestamp":1745425837000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000486143"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,22]]},"references-count":24,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,12,6]]},"published-print":{"date-parts":[[2018,12,12]]}},"URL":"https:\/\/doi.org\/10.1159\/000486143","archive":["Portico"],"relation":{},"ISSN":["0253-4886","1421-9883"],"issn-type":[{"value":"0253-4886","type":"print"},{"value":"1421-9883","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,22]]}}}