The Influence Of Clinical Outcome About Nutritional Risk In Patients With Laparoscopic Colorectal Cancer

Objective To explore the postoperative clinical outcome and significance about preoperative nutritional risk screening in patients with laparoscopic colorectal cancer.Methods Evaluating the preoperative nutritional status in 342 cases of patients with laparoscopic colorectal cancer surgery from December 2012 to December2015 by NRS2002 grading system using the method of retrospective study in our hospital. Analysing the influence of clinical outcome and its clinical significance about postoperative complications, the average hospital stay after surgery, the average total cost, the cost effectiveness ratio,etc in the two group.Results Patients with colorectal cancer preoperative NRS2002 score ?3 points were 119 cases, < 3 points 223 were cases. The incidence rate was 34.8%.Patients' gender, age, ASA score, lesion site, degree in differentiation, TNM stage,tumor classification and pathological types had not statistical significance(P > 0.05)and comparability. The total rate of postoperative complication with nutritional risk was 31.1%(37/119) and in no nutritional risk group was 17.0%(38/223), differences(P = 0.003). In the two groups, the incidence in incision infection(P=0.018) and anastomotic lackage(P=0.036) have significant difference(P < 0.05),but the incidence in incision bleeding, intestinal obstruction, chyle leakage, pulmonary infection, abdominal abscess, and other complications have not significant difference( P > 0.05). The average hospital stay after surgery were(9.40±3.04) days. Nutritional risk patients the average hospital stay were(10.12±3.25)days, no nutritional risk were(8.97±2.82)days( t=10.030,P < 0.05). The average hospital cost was(45700±5000) yuan. Nutritional risk patients was(46800±5700)yuan, no nutritional risk patients was(45100±5100)yuan(t = 6.066,P<0.05).The average total cost was(50700±6600) yuan.Nutritional risk patients was(53100±7000) yuan, no nutritional risk patients was(50600±6700) yuan( t=6.903,P <0.05).The cost-effectiveness ratio in nutritional risk group was(70700±11100) yuan, in no nutritional risk group was(61300±8100)yuan(t=38.645,P<0.05).Conclusion Using NRS2002 in preoperative nutritional risk screening, the postoperative complications occurred more often in nutritional risk patients(especially in incision infection and anastomotic leakage), the nutritional risk patients had higher total cost and cost-effectiveness ratio. Accordingly, we can use NRS2002 to predict the postoperative complications, hospital stay after surgery,the total cost,cost-effectiveness ratio and other clinical outcomes.