Zheng HD, Liu YR, Chen ZZ, Sun YF, Xu CH, Xu JH. Nomogram for predicting chylous ascites after right colectomy. World J Gastrointest Surg 2021; 13(11): 1361-1371 [PMID: 34950426 DOI: 10.4240/wjgs.v13.i11.1361]
Corresponding Author of This Article
Jian-Hua Xu, MD, Chief Doctor, Dean, Professor, Research Dean, Surgeon, Surgical Oncologist, Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Fujian Medical University, No. 950 Donghai Street, Fengze District, Quanzhou 362000, Fujian Province, China. xjh630913@126.com
Research Domain of This Article
Oncology
Article-Type of This Article
Case Control Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Hui-Da Zheng, Yu-Rong Liu, Zhen-Ze Chen, Ya-Feng Sun, Chun-Hao Xu, Jian-Hua Xu, Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, Fujian Province, China
Author contributions: Zheng HD collected the clinical data and prepared the manuscript; Zheng HD, Liu YR, Chen ZZ, and Xu CH designed the study and supervised the statistical data; Zheng HD and Sun YF contributed to the analyses; Xu JH provided clinical advice, reviewed the manuscript and gave final approval of the version of the article to be published.
Supported byMalignant Tumor Clinical Medicine Research Center, Quanzhou City, Fujian Province, China, No. 2020N090s.
Institutional review board statement: This study was approved by the Ethics Committee of the Second Affiliated Hospital of Fujian Medical University (approval No. 2021-0227).
Informed consent statement: The requirement for informed consent was waived by the Ethics Committee considering the retrospective design of the study.
Conflict-of-interest statement: All authors report no conflicts of interest.
Data sharing statement: No additional data was available.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Corresponding author: Jian-Hua Xu, MD, Chief Doctor, Dean, Professor, Research Dean, Surgeon, Surgical Oncologist, Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Fujian Medical University, No. 950 Donghai Street, Fengze District, Quanzhou 362000, Fujian Province, China. xjh630913@126.com
Received: June 8, 2021 Peer-review started: June 8, 2021 First decision: June 30, 2021 Revised: July 1, 2021 Accepted: September 15, 2021 Article in press: September 15, 2021 Published online: November 27, 2021 Processing time: 171 Days and 4.2 Hours
ARTICLE HIGHLIGHTS
Research background
Chylous ascites is a relatively rare postoperative complication but its incidence in patients after right hemicolectomy is relatively high.
Research motivation
If it is possible to assess which postoperative patients are at high risk for chylous ascites, appropriate preventive measures can be taken which will greatly speed up the recovery of patients and reduce hospitalization costs.
Research objectives
To identify the risk factors for chylous ascites and to establish a novel nomogram for predicting chylous ascites after right colectomy.
Research methods
A hospital-based retrospective study was conducted. Multivariate logistic regression was used to analyze the risk factors for chylous ascites and a novel nomogram was created. We used the receiver operating characteristic curve to assess the predictive ability of the model.
Research results
Operative time, the type of operation (standard or extended), and the number of lymph nodes retrieved were risk factors and somatostatin administration was considered a protective factor. Multivariate logistic regression and nomogram had relatively moderate abilities to predict the risk of chylous ascites.
Research conclusions
The nomogram had a relatively accurate predictive ability for chylous ascites. Thus, we can use this model to assess the risk of patients for developing chylous ascites.
Research perspectives
A multicenter prospective study should be performed to improve the practicality of the model.
