Liu CQ, Yu ZB, Gan JX, Mei TM. Preoperative blood markers and intra-abdominal infection after colorectal cancer resection. World J Gastrointest Surg 2024; 16(2): 451-462 [PMID: 38463368 DOI: 10.4240/wjgs.v16.i2.451]
Corresponding Author of This Article
Tian-Ming Mei, MBBS, Chief Physician, Department of Gastrointestinal Anorectal Surgery, Suzhou Hospital Affiliated to Anhui Medical University, No. 616 Bianyang Third Road, Yongqiao District, Suzhou 234000, Anhui Province, China. mtm19871018@126.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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World J Gastrointest Surg. Feb 27, 2024; 16(2): 451-462 Published online Feb 27, 2024. doi: 10.4240/wjgs.v16.i2.451
Table 1 Comparison of general information between the patient groups
IAI group (%)
Non-IAI group (%)
t/χ2
P value
Sample size
15
65
–
–
Gender
Male
11 (73.3)
35 (53.8)
1.894
0.169
Female
4 (26.7)
30 (46.2)
Age
65.63 ± 13.03
57.75 ± 12.86
-2.119
0.046
BMI
24.05 ± 3.47
22.94 ± 2.99
-1.257
0.212
Smoking history
Yes
6 (40.0)
20 (30.8)
0.473
0.491
No
9 (60.0)
45 (69.2)
Hypertension
Yes
10 (66.7)
33 (50.8)
1.239
0.266
No
5 (33.3)
32 (49.2)
Diabetes
Yes
8 (53.3)
38 (58.5)
0.131
0.717
No
7 (46.7)
27 (41.5)
Preoperative anemia
Yes
12 (80.0)
47 (72.3)
0.373
0.542
No
3 (20.0)
18 (27.7)
Tumor site
Left
8 (53.3)
37 (56.9)
0.064
0.801
Right
7 (46.7)
28 (43.1)
Degree of differentiation
Medium and above
9 (60.0)
30 (46.2)
0.935
0.334
Low
6 (40.0)
35 (53.8)
Infiltration depth
T3 + T4
8 (53.3)
38 (58.5)
0.131
0.717
T1 + T2
7 (46.7)
27 (41.5)
Tumor diameter (cm)
4.69 ± 1.15
4.79 ± 1.21
0.293
0.770
Lymphatic metastasis
Yes
6 (40.0)
23 (35.4)
0.112
0.737
No
9 (60.0)
42 (64.6)
Gross classification of tumor
Ulcerative
4 (26.7)
13 (20.0)
0.500
0.868
Wettability
7 (46.7)
31 (47.7)
Uplift type
4 (26.7)
21 (32.3)
Intraoperative bleeding
388.58 ± 59.27
402.23 ± 57.11
0.810
0.428
Table 2 Comparison of laboratory indexes between the patient groups
Project
IAI group
Non-IAI group
t
P value
HGB (g/L)
126.74 ± 19.58
130.29 ± 21.13
0.595
0.554
RBC (1012/L)
4.09 ± 0.32
4.06 ± 0.28
-0.267
0.790
ALB (g/L)
38.19 ± 2.13
38.11 ± 2.31
-0.131
0.896
WBC (109/L)
5.63 ± 1.03
5.46 ± 0.87
-0.657
0.513
PLT (109/L)
359.33 ± 30.33
291.41 ± 63.94
-3.997
0.000
NE (109/L)
4.84 ± 0.70
3.44 ± 1.11
-4.684
0.000
LY (109/L)
1.44 ± 0.18
1.73 ± 0.34
3.174
0.002
CD45+ CD3-
13.41 ± 0.87
14.46 ± 1.55
2.518
0.014
CD4/CD8
1.49 ± 0.092
1.49 ± 0.11
0.137
0.891
NLR
3.43 ± 0.65
2.08 ± 0.84
-5.770
0.000
PLR
253.87 ± 40.95
177.65 ± 62.28
-4.508
0.000
SII
1226.48 ± 245.55
611.52 ± 285.96
-7.691
0.000
CEA (μg/L)
4.32 ± 0.65
3.65 ± 0.84
-2.913
0.005
AFP (μg/L)
3.63 ± 0.94
3.57 ± 0.91
-0.218
0.829
SCC (μg/L)
1.40 ± 0.086
1.40 ± 0.097
0.038
0.970
CA19-9 (Ku/L)
18.78 ± 0.75
18.84 ± 1.24
0.169
0.866
CA-125 (Ku/L)
10.64 ± 1.04
11.13 ± 1.09
1.576
0.119
CA15-3 (Ku/L)
8.26 ± 1.06
7.87 ± 0.96
-1.378
0.172
Hsp90α (ng/mL)
38.21 ± 2.82
38.49 ± 2.69
0.344
0.734
Table 3 Multivariate analysis of intra-abdominal infection in patients that underwent radical resection of colorectal cancer
Independent variable
B
S.E.
Wald
P value
OR
95%CI
Age
0.001
0.055
0.000
0.990
1.001
0.899-1.114
CD45+ CD3-
0.355
1.185
0.090
0.765
1.426
0.140-14.542
NLR
-1.615
0.677
5.69
0.017
1.199
0.053-1.750
PLR
-0.022
0.010
5.13
0.024
1.978
0.960-1.997
SII
0.010
0.004
7.194
0.007
1.010
1.003-1.018
CEA (μg/L)
3.131
1.414
4.903
0.027
22.905
1.433-366.157
Constant
-20.789
18.767
1.227
0.268
0.000
–
Table 4 Diagnostic value of receiver operating characteristic curve evaluation index
Independent variable
Cutoff
AUC
Sensitivity
Specificity
Youden index
P value
95%CI
NLR
2.67
0.890
0.867
0.800
0.667
0.000
0.811-0.969
PLR
213.18
0.842
0.933
0.723
0.656
0.000
0.757-0.927
SII
826.24
0.937
0.215
0.785
0.785
0.000
0.886-0.989
CEA (μg/L)
4.03
0.728
0.667
0.708
0.375
0.006
0.595-0.861
Citation: Liu CQ, Yu ZB, Gan JX, Mei TM. Preoperative blood markers and intra-abdominal infection after colorectal cancer resection. World J Gastrointest Surg 2024; 16(2): 451-462