Evidence map›Paper›PMID 41778250›Full record

ArticleCancer diagnosis & prognosis

Minimally Invasive Colectomy Contributes to Decreasing Postoperative Morbidity in Patients With High Naples Prognostic Score.

Taishi Yamane, Koichi Doi, Takayoshi Kaida, Yukiko Suzuki, Fumimasa Kitamura, Hiroyuki Ishiodori, Shinobu Honda, Masaaki Iwatsuki

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Article in Cancer diagnosis & prognosis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Taishi YamaneDepartment of Surgery, Miyazaki Prefectural Nobeoka Hospital, Miyazaki, Japan.
Koichi DoiDepartment of Surgery, Miyazaki Prefectural Nobeoka Hospital, Miyazaki, Japan.
Takayoshi KaidaDepartment of Surgery, Miyazaki Prefectural Nobeoka Hospital, Miyazaki, Japan.
Yukiko SuzukiDepartment of Surgery, Miyazaki Prefectural Nobeoka Hospital, Miyazaki, Japan.
Fumimasa KitamuraDepartment of Surgery, Miyazaki Prefectural Nobeoka Hospital, Miyazaki, Japan.
Hiroyuki IshiodoriDepartment of Surgery, Miyazaki Prefectural Nobeoka Hospital, Miyazaki, Japan.
Shinobu HondaDepartment of Surgery, Miyazaki Prefectural Nobeoka Hospital, Miyazaki, Japan.
Masaaki IwatsukiDepartment of Gastroenterological Surgery, Graduate School of Life Sciences, Kumamoto University, Kumamoto, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Aim: The Naples prognostic score (NPS), based on nutritional and inflammatory status, may predict postoperative morbidity after colorectal cancer surgery. Minimally invasive colectomy (MIC) may improve short-term outcomes; however, whether MIC lowers morbidity in patients with a high NPS remains unknown. The current study examined the effects of NPS on postoperative morbidity after open colectomy (OC) and MIC. Patients and Methods: This retrospective analysis included 139 patients who underwent OC and 117 who underwent MIC for colorectal cancer between January 2013 and March 2020. The NPS is a composite score calculated using albumin and cholesterol concentrations, and lymphocyte: monocyte and neutrophil: lymphocyte ratios. Patients were divided into three groups based on NPS. Groups 1-2 were defined as low-NPS and group 3 as the high-NPS group. The OC and MIC groups were further divided into two subgroups according to whether the NPS was high or low. Results: The high-NPS groups had significantly higher postoperative morbidity after OC [Clavien-Dindo classification (CDc) ≥II; Conclusion: A high NPS led to postoperative morbidity after OC, but not after MIC. MIC may improve short-term outcomes, even in patients with a low NPS.

Indexed as

Colorectal cancerminimally invasive colectomyNaples prognostic score

Identifiers

PMID41778250
PMCPMC12951372

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