Abstract
Background
Bioelectric impedance vector analysis (BIVA) is a reliable tool to assess body composition.
The aim was to study the association of BIVA-derived phase angle (PA) and standardized
PA (SPA) values and the occurrence of surgery-related morbidity.
Methods
Patients undergoing hepatectomy for cancer in two Italian centers were prospectively
enrolled. BIVA was performed the morning of surgery. Patients were then stratified
for the occurrence or not of postoperative morbidity.
Results
Out of 190 enrolled patients, 76 (40%) experienced postoperative complications. Patients
with morbidity had a significant lower PA, SPA, body cell mass, and skeletal muscle
mass, and higher extracellular water and fat mass. At the multivariate analysis, presence
of cirrhosis (OR 7.145, 95% CI:2.712–18.822, p < 0.001), the Charlson comorbidity
index (OR 1.236, 95% CI: 1.009–1.515, p = 0.041), the duration of surgery (OR 1.004,
95% CI:1.001–1.008, p = 0.018), blood loss (OR 1.002. 95% CI: 1.001–1.004, p = 0.004),
dehydration (OR 10.182, 95% CI: 1.244–83.314, p = 0.030) and SPA < −1.65 (OR 3.954,
95% CI: 1.699–9.202, p = 0.001) were significantly and independently associated with
the risk of complications.
Conclusion
Introducing BIVA before hepatic resections may add valuable and independent information
on the risk of morbidity.
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Article info
Publication history
Published online: October 06, 2022
Accepted:
September 28,
2022
Received:
June 28,
2022
Identification
Copyright
© 2022 International Hepato-Pancreato-Biliary Association Inc. Published by Elsevier Ltd. All rights reserved.
