Predicting complications in hepatic resection for colorectal liver metastasis: the lymphocyte‐to‐monocyte ratio

McCluney, Simon; Giakoustidis, Alexandros A.; Segler, Angela; Bissel, Juliane; Miller, Robert; Valente, Umberto; Hutchins, Robert; Abraham, Ajit; Bhattacharya, Satyajit; Kocher, Hemant M.

doi:10.1111/ans.14725

Cited by 5 publications

(1 citation statement)

References 30 publications

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“…Peripheral in ammatory factors are of excellent research value due to their convenience, non-invasive features. NLR, LMR, and PLR have been considered as signi cant predictive markers in CRC including CRC pulmonary metastases and liver metastases [21,22]. However, the predictive value of in ammatory markers in patients with OMCC has not been evaluated.…”

Section: Discussionmentioning

confidence: 99%

The Decreased Platelet-to-Lymphocyte Ratio Could Predict a Good Prognosis in Patients with Oligometastatic Colorectal Cancer: A Single-Center Cohort Retrospective Study

Huang

Cui

et al. 2021

Preprint

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Background Inflammation markers have an important effect on tumor proliferation, invasion, and metastasis. Oligometastatic disease (OMD) is an intermediate state between widespread metastases and locally confined disease, where curative strategies may be effective for some patients. We aimed to explore the predictive value of inflammatory markers in patients with oligometastatic colorectal cancer (OMCC) and build a nomogram to predict the prognosis of these patients.Methods 209 patients with OMCC were retrospectively collected in this study. The Kaplan-Meier survival curves and Cox regression analysis were used to estimate overall survival (OS) and progression-free survival (PFS). A Multivariate Cox analysis model was utilized to establish the nomogram. The concordance index (C-index), calibration curve, and receiver operating characteristics (ROC) were established to verify the validity and accuracy of the prediction model.Results According to the multivariate analysis, decreased platelet-to-lymphocyte ratio (PLR) might independently improve OS in patients with OMCC (HR = 2.396, 95%CI: 1.391- 4.126, P = 0.002). Metastases of extra-regional lymph nodes indicated poor OS (HR = 2.472, 95%CI: 1.247-4.903, P = 0.010). While the patients with early N stage had better OS (HR = 4.602, 95%CI: 2.055-10.305, P = 0.001) and PFS (HR = 2.100, 95%CI: 1.364-3.231, P = 0.007). Primary tumor resection (HR = 0.367, 95%CI: 0.148-0.908, P = 0.030) and lower fibrinogen (HR = 2.254, 95%CI: 1.246-4.078, P = 0.007) could significantly prolong the OS in patients with OMCC. PLR, metastases of extra-regional lymph nodes, N stage, primary tumor resection, and fibrinogen were used to make up the nomogram. The C-index and area under the curve (AUC) of the ROC in nomogram were 0.721 and 0.772 respectively for OS, showed good consistency between predictive probability of OS and actual survival.Conclusions Decreased PLR could predict a good prognosis in patients with OMCC. The nomogram including inflammatory factors and clinicopathological markers was credible and accurate to predict survivals in patients with OMCC.

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Section: Discussionmentioning

confidence: 99%

The Decreased Platelet-to-Lymphocyte Ratio Could Predict a Good Prognosis in Patients with Oligometastatic Colorectal Cancer: A Single-Center Cohort Retrospective Study

Huang

Cui

et al. 2021

Preprint

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show abstract

Preoperative lymphocyte-to-monocyte ratio predicts postoperative infectious complications after laparoscopic colorectal cancer surgery

et al. 2019

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The Prognostic Significance of C-reactive Protein-To-Lymphocyte Ratio in Colorectal Liver Metastases

Taniai

Haruki

Hamura

et al. 2021

Journal of Surgical Research

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Predicting complications in hepatic resection for colorectal liver metastasis: the lymphocyte‐to‐monocyte ratio

Abstract: The LMR appears better at predicting complications following hepatic resection for colorectal liver metastases, as opposed to conventionally measured parameters.

Cited by 5 publications

References 30 publications

The Decreased Platelet-to-Lymphocyte Ratio Could Predict a Good Prognosis in Patients with Oligometastatic Colorectal Cancer: A Single-Center Cohort Retrospective Study

The Decreased Platelet-to-Lymphocyte Ratio Could Predict a Good Prognosis in Patients with Oligometastatic Colorectal Cancer: A Single-Center Cohort Retrospective Study

Preoperative lymphocyte-to-monocyte ratio predicts postoperative infectious complications after laparoscopic colorectal cancer surgery

The Prognostic Significance of C-reactive Protein-To-Lymphocyte Ratio in Colorectal Liver Metastases

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