Evidence map›Paper›PMID 39565392›Full record

ArticleSurgery today2025

Correlation between inflammatory markers and enhanced recovery after surgery (ERAS) failure in laparoscopic colectomy.

Ji Hyeong Song, Yoonsoo Shin, Kyung Ha Lee, Ji Yeon Kim, Jin Soo Kim

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Article in Surgery today, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Ji Hyeong SongDepartment of Surgery, Inje University Haeundae Paik Hospital, Busan, Korea.
Yoonsoo ShinCollege of Health and Medical Sciences, Daejeon University, Daejeon, Korea.
Kyung Ha LeeDepartment of Surgery, College of Medicine, Chungnam National University, Daejeon, Korea.
Ji Yeon KimDepartment of Surgery, College of Medicine, Chungnam National University, Daejeon, Korea.
Jin Soo KimDepartment of Surgery, College of Medicine, Chungnam National University, Daejeon, Korea. jskim2000@cnu.ac.kr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate inflammatory markers to identify patients at risk of enhanced recovery after surgery (ERAS) failure following laparoscopic colectomy.

methodsWe included patients who underwent laparoscopic colectomy between September 2020 and February 2023. ERAS failure was defined as intolerance of a soft diet on postoperative day (POD) 2, postoperative stay > 7 days, or readmission within 30 days postoperatively. Inflammatory markers were analyzed immediately postoperatively and on POD 1 and 3. All patients were subjected to the ERAS protocol and divided into success and failure groups.

resultsData from 402 patients (success, 330; failure, 72) were analyzed. The neutrophil-to-lymphocyte ratio (p < 0.001), platelet-to-lymphocyte ratio (p = 0.004), monocyte-to-lymphocyte ratio (p = 0.041), and C-reactive protein-to-albumin ratio (CAR; p < 0.001) were elevated in the failure group on POD 3. The immediate postoperative CAR was higher in the failure group (p = 0.045). ERAS failure occurred more frequently in patients with body mass index < 20 (p < 0.001), right colon tumors (p = 0.012), and longer operative time (p < 0.001).

conclusionsThis study demonstrated that inflammatory markers are associated with ERAS failure. Among the inflammatory markers, CAR might be the most potent indicator of ERAS failure following laparoscopic colectomy.

Indexed as

ColectomyEnhanced Recovery After SurgeryInflammationLaparoscopyAdultAgedAged, 80 and overBiomarkersColonic NeoplasmsC-Reactive ProteinFemaleHumansLength of StayLymphocyte CountLymphocytesMaleBiomarkersC-Reactive ProteinSerum AlbuminColon neoplasmsEnhanced recovery after surgeryInflammatory markersLaparoscopy

Identifiers

PMID39565392
PMCPMC12446132

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.