Preoperative serum total bilirubin-albumin ratio as a prognostic indicator in patients with hepatitis-related cirrhosis after splenectomy

doi:10.4240/wjgs.v17.i1.96512

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Surg. Jan 27, 2025; 17(1): 96512
Published online Jan 27, 2025. doi: 10.4240/wjgs.v17.i1.96512

Table 2 Intraoperative and postoperative characteristics of patients with high and low serum total bilirubin-albumin ratio, n (%)

Variable	Median (range)	High B/A group (> 0.87)	Low B/A group (≤ 0.87)	P value
Intraoperative data
Estimated blood loss (mL)	403 (50-2000)	420 (50-1500)	397 (50-2000)	0.792
Intraoperative transfusion (mL)	446 (0-1400)	637 (400-1400)	381 (200-1200)	< 0.001
Spleen volume (mm³)	1291 (157-4896)	1389 (270-3864)	1256 (156-4896)	0.278
Spleen size (mL)	159 (12-230)	168 (106-230)	155 (12-224)	0.063
Surgical methods
Laparoscopic surgery	35 (13.62)	6 (9.38)	29 (15.03)	0.253
Laparotomy	222 (86.38)	58 (90.63)	164 (84.97)	0.253
Postoperative complications
ICU stay	2 (0.78)	1 (1.56)	1 (0.52)	0.437
Hemorrhage	4 (1.56)	3 (4.69)	1 (0.52)	0.049
Portal vein thrombosis	45 (17.51)	7 (10.94)	38 (19.69)	0.110
Ascites	142 (55.25)	47 (73.44)	95 (49.22)	0.001
Hepatic encephalopathy	2 (0.78)	1 (1.56)	1 (0.52)	0.437
Surgical site infection	14 (5.45)	6 (9.38)	8 (4.15)	0.110
Pneumonia	7 (2.72)	2 (3.13)	5 (2.59)	1.000
SIRS	133 (51.75)	30 (46.88)	103 (53.37)	0.368
CCI > 30	77 (29.96)	26 (40.63)	51 (26.42)	0.032
Length of hospital stay (d)	27 (11-88)	30 (14-88)	26 (11-86)	0.030
Survival time (months)	64.6 (0.3-185.0)	56.8 (0.3-166.8)	67.2 (2.4-185.0)	0.045
Survival (yes/no)	221 (85.99)/36 (14.01)	46 (71.88)/18 (28.12)	175 (90.67)/18 (9.33)	< 0.001
HCC occurrence (yes/no)	40 (15.56)/217 (84.44)	10 (15.63)/54 (84.37)	30 (15.54)/163 (84.46)	0.988

B/A ratio: Total bilirubin-albumin ratio; ICU: Intensive care unit; SIRS: Systemic inflammatory response syndrome; CCI: Comprehensive complication index; HCC: Hepatocellular carcinoma.

Citation: Chen YF, Lin YX, Chi MM, Li DQ, Chen LT, Zhang Y, Wu RQ, Du ZQ. Preoperative serum total bilirubin-albumin ratio as a prognostic indicator in patients with hepatitis-related cirrhosis after splenectomy. World J Gastrointest Surg 2025; 17(1): 96512
URL: https://www.wjgnet.com/1948-9366/full/v17/i1/96512.htm
DOI: https://dx.doi.org/10.4240/wjgs.v17.i1.96512