Correlation of pre-operative nutritional condition with post-operative complications in surgical treatment for oesophageal carcinoma
Correlation of pre-operative nutritional condition with post-operative complications in surgical treatment for oesophageal carcinoma
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DOI：
10.1053/ejso.2002.1257
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发表时间：
2002-06-01
期刊：
影响因子：
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通讯作者：
Sugimachi, K
中科院分区：
文献类型：
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作者：
Nozoe, T;Kimura, Y;Sugimachi, K
目的：本文讨论了食管癌患者术前营养状况与手术疗效的关系。本研究的目的是证明术前营养状况与手术治疗食管癌术后并发症和预后的关系。方法：选择258例食管癌患者行食管切除重建术。结果：有术后并发症的患者术前PNI平均值为100，而无术后并发症的患者术前PNI平均值为100，与术后并发症的发生率及患者预后的关系无显著性差异。（41.8 ± 5.4）显著低于无术后并发症患者（46.5 ± 5.3; P < 0.0001）。PNI值高的患者生存率明显高于PNI值低的患者（P = 0.0001）。结论：术前评估食管癌患者的营养状况可为术后并发症的发生提供预测信息。(C)2002爱思唯尔科技有限公司版权所有。
Aims: The relationship between the pre-operative nutritional condition and the outcome of the surgical treatment in patients with oesophageal carcinoma has been discussed diversely. The aim of the current study was to demonstrate the relationship between pre-operative nutritional condition and post-operative complications and prognosis following surgical treatment for oesophageal carcinoma.Methods: Two hundred and fifty-eight patients with oesophageal carcinoma treated with oesophageal resection and reconstruction were selected. The correlation of pre-operative values of prognostic nutritional index (PNI) with the incidence of post-operative complications and prognosis of the patients was investigated.Results: The mean pre-operative value of PNI in patients with post-operative complications (41.8 +/- 5.4) was significantly lower than that in patients without post-operative complications (46.5 +/- 5.3; P < 0.0001). The survival in patients with higher PNI value was significantly more favourable than that in patients with lower PNI value (P = 0.0001).Conclusions: Pre-operative assessment of the nutritional condition could provide predictive information for postoperative complications in patients with oesophageal carcinoma. (C) 2002 Elsevier Science Ltd. All rights reserved.