Preoperative Controlling Nutritional Status Score on Predicting the Postoperative Complications Following Major Hepatopancreatobiliary Surgery.

Autor:	Shrestha S; Colorectal Surgery, Clinic NEO, Kathmandu, NPL.; Surgical Gastroenterology, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, NPL.; Surgical Gastroenterology, Pokhara Academy of Health Sciences, Pokhara, NPL., Dahal R; Surgical Gastroenterology, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, NPL., Maharjan N; GI, Gastrosurgery, General Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, NPL., Pradhan S; Surgical Gastroenterology, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Kathmandu, NPL., Kandel B; Surgical Gastroenterology, Tribhuvan University Institute of Medicine, Kathmandu, NPL., Lakhey PJ; Surgical Gastroenterology, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, NPL., Bhandari RS; Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, NPL.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 May 30; Vol. 16 (5), pp. e61349. Date of Electronic Publication: 2024 May 30 (Print Publication: 2024).
DOI:	10.7759/cureus.61349
Abstrakt:	Introduction The prognostic significance of the controlling nutritional status (CONUT) score in hepatopancreatobiliary (HPB) surgery has been shown by many studies but the clinical significance of the CONUT score for postoperative short-term outcomes remains controversial. This study aimed to investigate the impact of the CONUT score on early postoperative outcomes in patients following major HPB surgery. Method This was a prospective study of 57 patients who underwent major HPB surgery from November 2019 to January 2021 at the Department of Surgical Gastroenterology, Tribhuvan University Teaching Hospital, Nepal. Result A total of 57 patients, 25 males and 32 females, were operated on. The number of patients assigned to the normal, mild, and moderate malnutrition groups was 13, 41, and 3, respectively. The high CONUT group (CONUT ³ 2) consisted of 44 patients (77%) and the low CONUT group (CONUT <2) consisted of 13 patients (33%). The overall complications (Clavien-Dindo classification ³1) and major complications (Clavien-Dindo classification ³3) were present in 37 patients (64.9%) and 14 patients (24.6%), respectively. Increased operative time and intraoperative blood loss were associated with an increased incidence of major (OR: 1.01, p: 0.018) and overall (OR: 1.006, p: 0.039) postoperative complications, respectively, in univariate analysis. A high CONUT score was not associated with a higher incidence of overall and major postoperative complications. Conclusion In our study, the preoperative CONUT score did not predict the postoperative morbidity following hepatopancreatobiliary surgery. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Institutional Review Committee (Institute of Medicine) issued approval 227(6-11)990] [E2076/077). Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Shrestha et al.)
Databáze:	MEDLINE
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