コレマツ　セイゴ   KOREMATSU Seigo   是松　聖悟    所属   埼玉医科大学  医学部 総合医療センター　小児科（小児科､総合周産期母子医療センター新生児科、小児救命救急センター）    職種   教授
論文種別	学術雑誌(原著)
言語種別	英語
査読の有無	査読なし
表題	Prognostic Nutritional Index Considering Resection Range Is Useful for Predicting Postoperative Morbidity of Hepatectomy.
掲載誌名	正式名：Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
著者・共著者	Shigeyuki Nagata,Shohei Maeda,Satoko Nagamatsu,Seiichiro Kai,Yasuro Fukuyama,Seigo Korematsu,Hiroyuki Orita,Hideaki Anai,Hiroyuki Kuwano,Daisuke Korenaga
発行年月	2021/01
概要	BACKGROUND: Poor preoperative nutritional and immunological status are major risk factors for postoperative complications in patients with various malignancies. Lower preoperative prognostic nutrition index (PNI) is associated with higher rates of postoperative complications and poorer prognosis in those patients. The aim of this study was to analyze the predictive value of the PNI for post-hepatectomy complications in patients with hepatocellular carcinoma (HCC), and evaluate its utility in the surgical procedure. METHODS: This retrospective study included 510 patients who underwent open hepatectomies for HCC. The predictive value of the preoperative nutritional and immunological status for postoperative complications was assessed using the PNI. Postoperative complications were defined as grade II or higher per the Clavien-Dindo classification. Postoperative complication rates were compared according to surgical procedure (major hepatectomy vs minor hepatectomy). RESULTS: Patients with postoperative complications had significantly lower PNIs than those without (43.1 ± 5.5 vs 47.0 ± 5.7, P<0.001). In the multivariate analysis, low preoperative PNI (<45) was an independent risk
DOI	10.1007/s11605-020-04893-z
PMID	33420654