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Nomogram for predicting chylous ascites after right colectomy.

Hui-Da Zheng1, Yu-Rong Liu1, Zhen-Ze Chen1

  • 1Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, Fujian Province, China.

World Journal of Gastrointestinal Surgery
|December 24, 2021
PubMed
Summary
This summary is machine-generated.

This study identifies key risk factors for chylous ascites after right hemicolectomy, developing the first nomogram to predict its occurrence. This tool aids in assessing and potentially preventing chylous ascites post-surgery.

Keywords:
Chylous ascitesNomogramRight colectomyRisk factors

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Area of Science:

  • Gastrointestinal Surgery
  • Surgical Oncology
  • Clinical Prediction Modeling

Background:

  • Chylous ascites is a significant complication following right hemicolectomy, particularly after D3 lymphadenectomy.
  • Limited research exists on predicting chylous ascites after this procedure.
  • No established predictive model for chylous ascites post-right hemicolectomy has been developed.

Purpose of the Study:

  • To identify risk factors associated with chylous ascites after right hemicolectomy.
  • To develop and validate a nomogram for predicting chylous ascites incidence.

Main Methods:

  • Retrospective analysis of patients undergoing right hemicolectomy for cancer (January 2012 - May 2021).
  • Multivariate logistic regression to determine influencing factors.
  • Nomogram construction and validation using ROC curve analysis (AUC = 0.770).

Main Results:

  • Key risk factors identified include operative time, operation type (standard vs. extended), lymph node yield, and somatostatin use.
  • The developed nomogram demonstrated moderate predictive accuracy (C-statistic = 0.770).
  • Multivariate logistic regression and the nomogram effectively predict chylous ascites occurrence.

Conclusions:

  • A novel set of risk factors for chylous ascites post-right hemicolectomy was identified.
  • A validated nomogram provides a tool for accurate risk assessment and potential prevention strategies.
  • This nomogram serves as a valuable reference for clinicians managing patients undergoing right hemicolectomy.