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Title: The influence of preoperative nutritutional and systemic inflamatory status on perioperative outcomes following Da Vinci robot-assisted thoracic lung cancer surgery
Author: Moreno, Camilo
Ureña Lluveras, Anna
Macía Vidueira, Iván
Rivas Doyague, Francisco
Déniz, Carlos
Muñoz, Anna
Serratosa, Ines
Poltorak, Violeta
Moya Guerola, Miguel
Masuet Aumatell, Cristina
Escobar Campuzano, Ignacio
Ramos Izquierdo, Ricard
Keywords: Càncer de pulmó
Lung cancer
Issue Date: 1-Jan-2023
Publisher: MDPI
Abstract: Background: Nutrition is an important factor in the outcome of any disease process. We evaluated the relationship of nutritional status and inflammatory status of non-small cell lung cancer (NSCLC) patients undergoing robotic-assisted thoracic surgery (RATS) with postoperative complications. Methods: This prospective cohort study included 107 NSCLC patients undergoing surgical treatment, between 2019 and 2021. Nutritional status and inflammatory status were assessed before pulmonary resection using anthropometric assessment, blood tests, and body mass index (BMI). Results: The BMI was 27.5 ± 4.4. Based on BMI, 29% (n = 31) were classified as normal weight, 43% (n = 46) as overweight, and 28% (n = 30) as obese. The mean neutrophil/lymphocyte ratio (NLR) was 2.16 ± 0.85, the platelet/lymphocyte ratio (PLR) was 121.59 ± 44.21, and the lymphocyte/monocyte ratio (LMR) was 3.52 ± 1.17. There was no increase in the number of intraoperative complications or bleeding (p = 0.696), postoperative complications (p = 0.569), mean hospital stay (p = 0.258) or duration of chest drain (p = 0.369). Higher inflammatory status, with an NLR > 1.84, was associated with more overall postoperative complications (p = 0.028), only in univariate analysis, but this significance was not maintained on multivariate analysis. Conclusions: BMI was not a predictor of increased postoperative risk in this cohort; therefore, weight should not deter surgeons from using RATS for pulmonary resection.
Note: Reproducció del document publicat a:
It is part of: Journal of Clinical Medicine, 2023, vol. 12
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ISSN: 2077-0383
Appears in Collections:Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
Articles publicats en revistes (Ciències Clíniques)

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