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Surgical Endoscopy

, Volume 27, Issue 7, pp 2569–2574 | Cite as

Nutritional risk is still a clinical predictor of postoperative outcomes in laparoscopic abdominal surgery

  • Wei Zhou
  • Xiaowu Xu
  • Jaifei Yan
  • Yiping Mou
Article

Abstract

Background

The relationship between nutritional risk and postoperative recovery of patients with major laparoscopic abdominal surgery is still unclear. The present study was designed to assess the value of the nutritional risk screening in predicting the postoperative outcomes in this cohort of patients.

Methods

Data from a consecutive series of 75 patients undergoing various elective major laparoscopic abdominal operations was prospectively collected. Nutritional risk was defined by the Nutritional Risk Screening 2002 (NRS 2002) score and correlated to the incidence of postoperative complications and hospital stay. Multivariate regression identified factors associated with 30-day complications [odds ratio (95 % confidence interval)].

Results

The overall incidence of nutritional risk was 34.7 %. There was a significantly higher infectious complication rate of 38.5 % in patients at nutritional risk, compared to 12.2 % in patients at no risk (p = 0.008). No significant difference of postoperative hospital stay and overall complications was found in patients at nutritional risk or not. Nutritional risk was identified as an independent predictor of postoperative infectious complications (odds ratio 4.87 [1.33–17.84]; p = 0.017).

Conclusions

The present study reinforces the value of the NRS 2002 to identify patients at higher risk of infectious complications after major laparoscopic abdominal surgery. In the era of minimally invasive surgery, the problem of nutritional risk still deserves our attention and concern.

Keywords

Laparoscopic Abdominal Surgery Nutritional risk Complication 

Notes

Disclosures

Drs. Wei Zhou, Xiaowu Xu, Jiafei Yan, and Yiping Mou have no conflicts of interest or financial ties to disclose.

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Wei Zhou
    • 1
    • 2
  • Xiaowu Xu
    • 1
    • 2
  • Jaifei Yan
    • 1
    • 2
  • Yiping Mou
    • 1
    • 2
  1. 1.Department of General SurgerySir Run Run Shaw Hospital, School of Medicine, Zhejiang UniversityHangzhouPeople’s Republic of China
  2. 2.Minimally Invasive Surgery Institute of Zhejiang UniversityHangzhouPeople’s Republic of China

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