机器人外科学杂志（中英文）2025，Vol.6Issue(4)：660-666,7.DOI:10.12180/j.issn.2096-7721.2025.04.026
控制营养状态评分在预测机器人辅助食管癌根治术后并发症中的应用
Prognostic value of CONUT score in predicting postoperative complications following robot-assisted McKeown esophagectomy
摘要
Abstract
Objective:To investigate the predictive value of the preoperative Controlling Nutritional Status(CONUT)score for postoperative complications in patients undergoing robot-assisted McKeown esophagectomy(RAME).Methods:A retrospective analysis was performed on 203 patients who underwent RAME at the First Hospital of Lanzhou University from March 2019 to March 2024.Patients were divided into the high-CONUT group(≥3 points,n=34)and the low-CONUT group(<3 points,n=169)based on preoperative CONUT scores.Clinical characteristics and postoperative complications were compared between the groups of patients.Logistic regression analysis was used to identify risk factors for complications.Results:The high-CONUT group showed significantly higher incidence of overall postoperative complications,anastomotic stricture,anastomotic leakage,pleural effusion,and surgical site infection compared to the low-CONUT group(P<0.05).Preoperative cholesterol levels and CONUT score were identified as potential risk factors for complications,with a CONUT score≥3 points serving as an independent predictor of postoperative complications for RAME(P<0.05).Conclusion:The CONUT score is a robust independent predictor of complications following RAME,enabling precise and timely individualized interventions to improve patient prognosis.关键词
机器人辅助手术/控制营养状态评分/食管癌/并发症/预测价值Key words
Robot-assisted Surgery/Controlled Nutritional Status Score/Esophageal Cancer/Postoperative Complication/Predictive Value分类
临床医学引用本文复制引用
姬雨行,曹雄,苏嘉诚,韩彪..控制营养状态评分在预测机器人辅助食管癌根治术后并发症中的应用[J].机器人外科学杂志（中英文）,2025,6(4):660-666,7.基金项目
甘肃省科技创新人才计划(24YFWA011)Science and Technology Innovation Talent Plan of Gansu Province(24YFWA011) （24YFWA011）
