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The Influence of Preoperative Nutritional and Systemic Inflammatory Status on Perioperative Outcomes following Da Vinci Robot-Assisted Thoracic Lung Cancer Surgery

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...

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Autores principales: Moreno, Camilo, Ureña, Anna, Macia, Ivan, Rivas, Francisco, Déniz, Carlos, Muñoz, Anna, Serratosa, Ines, Poltorak, Violeta, Moya-Guerola, Miguel, Masuet-Aumatell, Cristina, Escobar, Ignacio, Ramos, Ricard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9863584/
https://www.ncbi.nlm.nih.gov/pubmed/36675482
http://dx.doi.org/10.3390/jcm12020554
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author Moreno, Camilo
Ureña, Anna
Macia, Ivan
Rivas, Francisco
Déniz, Carlos
Muñoz, Anna
Serratosa, Ines
Poltorak, Violeta
Moya-Guerola, Miguel
Masuet-Aumatell, Cristina
Escobar, Ignacio
Ramos, Ricard
author_facet Moreno, Camilo
Ureña, Anna
Macia, Ivan
Rivas, Francisco
Déniz, Carlos
Muñoz, Anna
Serratosa, Ines
Poltorak, Violeta
Moya-Guerola, Miguel
Masuet-Aumatell, Cristina
Escobar, Ignacio
Ramos, Ricard
author_sort Moreno, Camilo
collection PubMed
description 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.
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spelling pubmed-98635842023-01-22 The Influence of Preoperative Nutritional and Systemic Inflammatory Status on Perioperative Outcomes following Da Vinci Robot-Assisted Thoracic Lung Cancer Surgery Moreno, Camilo Ureña, Anna Macia, Ivan Rivas, Francisco Déniz, Carlos Muñoz, Anna Serratosa, Ines Poltorak, Violeta Moya-Guerola, Miguel Masuet-Aumatell, Cristina Escobar, Ignacio Ramos, Ricard J Clin Med Article 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. MDPI 2023-01-10 /pmc/articles/PMC9863584/ /pubmed/36675482 http://dx.doi.org/10.3390/jcm12020554 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Moreno, Camilo
Ureña, Anna
Macia, Ivan
Rivas, Francisco
Déniz, Carlos
Muñoz, Anna
Serratosa, Ines
Poltorak, Violeta
Moya-Guerola, Miguel
Masuet-Aumatell, Cristina
Escobar, Ignacio
Ramos, Ricard
The Influence of Preoperative Nutritional and Systemic Inflammatory Status on Perioperative Outcomes following Da Vinci Robot-Assisted Thoracic Lung Cancer Surgery
title The Influence of Preoperative Nutritional and Systemic Inflammatory Status on Perioperative Outcomes following Da Vinci Robot-Assisted Thoracic Lung Cancer Surgery
title_full The Influence of Preoperative Nutritional and Systemic Inflammatory Status on Perioperative Outcomes following Da Vinci Robot-Assisted Thoracic Lung Cancer Surgery
title_fullStr The Influence of Preoperative Nutritional and Systemic Inflammatory Status on Perioperative Outcomes following Da Vinci Robot-Assisted Thoracic Lung Cancer Surgery
title_full_unstemmed The Influence of Preoperative Nutritional and Systemic Inflammatory Status on Perioperative Outcomes following Da Vinci Robot-Assisted Thoracic Lung Cancer Surgery
title_short The Influence of Preoperative Nutritional and Systemic Inflammatory Status on Perioperative Outcomes following Da Vinci Robot-Assisted Thoracic Lung Cancer Surgery
title_sort influence of preoperative nutritional and systemic inflammatory status on perioperative outcomes following da vinci robot-assisted thoracic lung cancer surgery
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9863584/
https://www.ncbi.nlm.nih.gov/pubmed/36675482
http://dx.doi.org/10.3390/jcm12020554
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