Inflammatory Biomarkers as Prognostic Factors in Short-Term Postoperative Complications in Operable Gastric Cancer.

IF 0.8 Q4 SURGERY
Chirurgia Pub Date : 2025-08-01 DOI:10.21614/chirurgia.3179
Nicolae Suciu, Orsolya Bauer, Călin Crăciun, Rareş Georgescu, Sorin Sorlea, Flavius Mocian, Orsolya Katona, Marius Florin Coros
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引用次数: 0

Abstract

The study aimed to evaluate the effect of inflammatory blood markers on the postoperative outcomes of gastric cancer patients. We sought to assess the prognostic value of biomarkers and prognostic scores concerning short-term postoperative results. Material and methods: A non-randomized retrospective study was conducted, including gastric cancer patients proposed for curative-intent gastrectomy between 2012-2024 in the general surgery department of Mures County Hospital. We measured systemic inflammation by determining the neutrophile-to-lymphocyte ratio, neutrophile-toplatelet ratio, and platelet-to-lymphocyte ratio, prognostic nutritional index (PNI), modified Glasgow score (mGS), and Systemic Inflammatory Index (SII). Results: the white blood cell count (p 0.0001), the neutrophile count (p 0.0001), the lymphocyte count (p=0.001), the platelet count (p=0,01), the C-reactive protein levels (p 0.0001), the albumin levels (p 0.0001), the neutrophilto- platelet ratio (p=0.01), the prognostic nutritional index (p 0.0001), the modified Glasgow score (p 0.0001) and the Systemic inflammatory index (p 0.0001) were strongly associated with the postoperative outcome. In the multivariate analysis, CRP levels and modified Glasgow score were significantly associated with postoperative outcome. Conclusion: Systemic inflammatory markers play a significant role in predicting postoperative complications in gastric cancer. The interplay between inflammatory markers, surgical techniques, nutritional support, and complication management forms a multifaceted approach to predict postoperative outcomes.

炎症生物标志物作为可手术胃癌术后短期并发症的预后因素。
本研究旨在评价炎症性血液标志物对胃癌患者术后预后的影响。我们试图评估生物标志物和预后评分对短期术后结果的预后价值。材料与方法:本研究采用非随机回顾性研究,纳入2012-2024年在木ures县医院普外科拟施行治疗目的胃切除术的胃癌患者。我们通过测定中性粒细胞与淋巴细胞比率、中性粒细胞与血小板比率、血小板与淋巴细胞比率、预后营养指数(PNI)、改良格拉斯哥评分(mGS)和全身炎症指数(SII)来测量全身炎症。结果:白细胞计数(p 0.0001)、中性粒细胞计数(p 0.0001)、淋巴细胞计数(p=0.001)、血小板计数(p=0.01)、c反应蛋白水平(p 0.0001)、白蛋白水平(p 0.0001)、中性粒细胞-血小板比值(p=0.01)、预后营养指数(p 0.0001)、改良格拉斯哥评分(p 0.0001)和全身炎症指数(p 0.0001)与术后预后密切相关。在多变量分析中,CRP水平和改良格拉斯哥评分与术后预后显著相关。结论:全身炎症指标在预测胃癌术后并发症中具有重要作用。炎症标志物、手术技术、营养支持和并发症管理之间的相互作用形成了预测术后结果的多方面方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Chirurgia
Chirurgia Medicine-Surgery
CiteScore
1.00
自引率
0.00%
发文量
75
审稿时长
4-8 weeks
期刊介绍: Chirurgia is a bimonthly journal. In Chirurgia, original papers in the area of general surgery which neither appeared, nor were sent for publication in other periodicals, can be published. You can send original articles, new surgical techniques, or comprehensive general reports on surgical topics, clinical case presentations and, depending on publication space, - reviews of some articles of general interest to surgeons from other publications. Chirurgia is also a place for sharing information about the activity of various branches of the Romanian Society of Surgery, information on Congresses and Symposiums organized by the Romanian Society of Surgery and participation notes in other scientific meetings. Letters to the editor: Letters commenting on papers published in Chirurgia are welcomed. They should contain substantive ideas and commentaries supported by appropriate data, and should not exceed 2 pages. Please submit these letters to the editor through our online system.
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