Case Control Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Nov 27, 2021; 13(11): 1361-1371
Published online Nov 27, 2021. doi: 10.4240/wjgs.v13.i11.1361
Nomogram for predicting chylous ascites after right colectomy
Hui-Da Zheng, Yu-Rong Liu, Zhen-Ze Chen, Ya-Feng Sun, Chun-Hao Xu, Jian-Hua Xu
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 by Malignant 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.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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/
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.