The Japanese Journal of SURGICAL METABOLISM and NUTRITION
Online ISSN : 2187-5154
Print ISSN : 0389-5564
ISSN-L : 0389-5564
How Can Sarcopenia Be Controlled in Colorectal Cancer Surgery?
In Kyu Lee
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2025 Volume 59 Issue 3 Pages 74-

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Abstract
Sarcopenia, defined as the loss of skeletal muscle mass (SMM) and function, is increasingly recognized as a critical factor influencing patient outcomes in oncological surgery. In colorectal cancer patients, sarcopenia has been associated with increased postoperative complications, prolonged hospital stays, and decreased overall survival. The impact of sarcopenia extends beyond immediate postoperative outcomes, potentially affecting long term oncological outcomes.
Concurrent with the growing interest in sarcopenia, there has been a paradigm shift in perioperative care with the introduction of Enhanced Recovery After Surgery (ERAS) protocols. These evidence-based, multimodal care pathways aim to reduce surgical stress, maintain postoperative physiological function, and accelerate recovery. ERAS protocols have been shown to reduce postoperative complication, shorten hospital stays, and improve patient outcomes in colorectal surgery. However, the interaction between sarcopenia and ERAS protocol compliance, particularly in terms of long-term outcomes, has not been extensively studied. In this symposium, I will talk about the relationship between sarcopenia, ERAS compliance, and surgical outcomes.
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© 2025 JAPANESE SOCIETY for SURGICAL METABOLISM and NUTRITION
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