Dr Wei-Zhea Chen and colleagues performed a prospective double-center study to explore the effect of nutritional risk on short-term outcomes in the patients who had gastric cancer, and underwent a laparoscopic-assisted gastrectomy.
The researchers conducted a study of patients who underwent laparoscopic-assisted gastrectomy in 2 large centers between 2014 and 2017.
Patients’ demographic and clinical characteristics and postoperative short-term outcomes were prospectively analyzed.
Patients were divided into 2 groups depend on the preoperative presence of nutritional risk.
|Hypoalbuminemia was an independent risk factor for postoperative complications |
|European Journal of Gastroenterology & Hepatology|
The team compared clinical variables.
The research team reported that a total of 256 patients, comprizing 187 males and 69 females, met the inclusion criteria and were included in this study.
The mean age was 62 years, the average BMI was 22.44 kg/m2, and the average preoperative serum albumin was 39.42 g/l.
The team observed that older age, higher tumor stage, lower BMI, lower preoperative serum albumin, and lower hemoglobin were more common in the nutritional risk group.
The researchers noted no significant differences in the short-term postoperative outcomes between nutritional risk and non-nutritional risk groups.
Advanced age and hypoalbuminemia were independent risk factors for postoperative complications after laparoscopic-assisted gastrectomy.
Dr Chen's team comments, "Nutritional risk may not be a clinical predictor of short-term outcomes after laparoscopic-assisted gastrectomy."
"Advanced age and preoperative hypoalbuminemia were independent risk factors for grade II or more postoperative complications."