Preoperative nutrition-enhanced recovery after surgery protocol for thoracic neoplasms

Robinson, Lary A.; Tanvetyanon, Tawee; Grubbs, Deanna; Robinson, N.; Pierce, Christine; McCarthy, Kevin; Garcia-Getting, Rosemarie; Patel, Sephalie Y.

doi:10.1016/j.jtcvs.2020.06.016

Cited by 19 publications

(23 citation statements)

References 30 publications

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“…(2) e patients were diagnosed with LC after examination, and the lesions could be removed by hepatectomy. (3) e liver function of patients was graded as A [9,10]. (4) e 15-minute retention rate of indocyanine green excretion test was 20% and below.…”

Section: Inclusion Criteriamentioning

confidence: 99%

Application of NRS2002 in Preoperative Nutritional Screening for Patients with Liver Cancer

Huang

Wang

Xie

et al. 2021

Journal of Oncology

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Objective. To explore the application of NRS2002 in preoperative nutritional screening of patients with liver cancer (LC). Methods. 60 LC patients treated in the First Affiliated Hospital of Gannan Medical University (January 2018–May 2021) were chosen as the research objects, and split into group J without nutritional risk and group Q with nutritional risk according to the results of NRS2002 to compare the preoperative situation, surgery-related indexes, hematological indexes, postoperative recovery, and incidence of complications between the two groups. Results. Group J (n = 28) and group Q (n = 32) showed no obvious difference in preoperative situation, and patients’ liver function indexes were within the normal range. The duration of surgery in group J was notably shorter compared with group Q ( P < 0.05 ). Alanine aminotransferase (ALT), aspartate aminotransferase (AST), direct bilirubin (DBIL), and albumin in group J were notably different from those of group Q ( P < 0.001 ) at 1 day after surgery. ALT and AST in group J were notably different from those of group Q at 3 days after surgery ( P < 0.001 ). No obvious differences were observed in the hematological indexes between the two groups at 5 days after surgery ( P > 0.05 ). The total amount of albumin infusion, postoperative hospitalization time, and hospitalization cost in group J were notably lower compared with group Q ( P < 0.001 ). The incidence of complications in group J was notably lower compared with group Q ( P < 0.05 ). Conclusion. Postoperative recovery of LC patients is closely related to their preoperative nutritional status, and those with poor nutritional status have a high incidence of postoperative complications and long recovery time. NRS2002 can effectively screen the nutritional status of patients and provide reference for prognosis evaluation.

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Section: Inclusion Criteriamentioning

confidence: 99%

Application of NRS2002 in Preoperative Nutritional Screening for Patients with Liver Cancer

Huang

Wang

Xie

et al. 2021

Journal of Oncology

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“…Studies have shown that perioperative interventions for improving nutritional status in lung cancer patients undergoing surgical resection via various modalities are associated with decreased hospital LOS and chest tube duration, reduced number of postoperative complications, decreased cost of patient care, improved lung function, and improved morbidity and mortality. [14][15][16][17] In our analysis of OS at 1, 3, and 5 years postoperatively, low postoperative pre-albumin and, thus, poor nutritional status was significantly predictive of decreased survival.…”

Section: Discussionmentioning

confidence: 60%

Effect of Lowest Postoperative Pre-albumin on Outcomes after Robotic-Assisted Pulmonary Lobectomy

Jermihov¹,

Tsalatsanis²,

Kulkarni³

et al. 2021

JSLS

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Objective: Lower pre-albumin levels have been associated with increased rates of post-surgical complications, prolonged hospital length of stay (LOS), and death. This study aims to investigate the effect of postoperative prealbumin levels on perioperative and long-term outcomes following robotic-assisted video thoracoscopic (RAVT) pulmonary lobectomy.Methods: We retrospectively reviewed 459 consecutive patients who underwent RAVT pulmonary lobectomy by one surgeon for known or suspected lung cancer. The lowest pre-albumin values during the postoperative hospital stay were recorded. Twenty-three patients with no pre-albumin levels available were excluded from analysis. Patients were grouped as having normal (Ն 15 mg/ dL) versus low (< 15mg/dL) pre-albumin. Outcomes and demographics were compared between groups using Pearson x 2 , Student's t, or Kruskal-Wallis tests. Univariate and multivariate generalized linear regression, logistic regression, or Cox proportional hazard ratio models were used to assess the association between outcomes and variables of interest. Kaplan-Meier analyses were performed to estimate and depict survival probabilities for each group. Results:Our study population comprised 436 patients. Lowest postoperative pre-albumin below 15 mg/dL was associated with more postoperative complications (44.2% vs 24.9%, p < 0.001), longer chest tube duration (6.9 vs 4.6 days, p = 0.001), and longer LOS (7.0 vs. 4.4 days, p < 0.001). In survival analysis, lowest perioperative prealbumin levels were found to correlate with decreased 1 year (p = 0.012), 3-year (p = 0.001), and 5-year survival (p = 0.001). Conclusion:Lower pre-albumin levels postoperatively are associated with more postoperative complications, longer chest tube duration and LOS, and decreased overall survival following robotic-assisted pulmonary lobectomy.

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“…Robinson and colleagues 4 provide a focused contribution to the enhanced recovery literature in thoracic surgery. They describe the effect of a preoperative nutrition intervention that includes immunonutrition supplements, carbohydrate loading, and probiotics.…”

mentioning

confidence: 99%

Commentary: Enhanced recovery in thoracic surgery: You are what you eat?

McCarthy

2021

The Journal of Thoracic and Cardiovascular Surgery

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Preoperative nutrition-enhanced recovery after surgery protocol for thoracic neoplasms

Cited by 19 publications

References 30 publications

Application of NRS2002 in Preoperative Nutritional Screening for Patients with Liver Cancer

Application of NRS2002 in Preoperative Nutritional Screening for Patients with Liver Cancer

Effect of Lowest Postoperative Pre-albumin on Outcomes after Robotic-Assisted Pulmonary Lobectomy

Commentary: Enhanced recovery in thoracic surgery: You are what you eat?

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