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Table 9 Tumor characteristics and surgical outcomes in Low and High PNI groups according to liver fictional preserve

From: Onodera’s prognostic nutritional index is a strong prognostic indicator for patients with hepatocellular carcinoma after initial hepatectomy, especially patients with preserved liver function

 

LHL15 ≥ 0.9

 

LHL15 < 0.9

 

Variables

Low PNI (n = 7)

High PNI (n = 146)

p value

Low PNI (n = 10)

High PNI (n = 26)

p value

Tumor size (cm)

7.0 (2.0–13.0)

4.0 (0.5–24.0)

n.s

3 (1.1–15.0)

3.5 (0.7–20.0)

n.s

Multiple tumor

2 (29%)

38 (26%)

n.s

5 (50%)

4 (15%)

n.s

AFP (ng/ml)

40 (2–33,430)

9 (1–253,875)

n.s

122 (9–60,105)

29 (4–88,940)

n.s

DCP (mAU/ml)

1501 (28–85,330)

88 (1–286,400)

n.s

260 (14–29,182)

237 (10–174,400)

n.s

BCLC stage

  

n.s

  

n.s

 0

0 (0%)

13 (9%)

 

0 (0%)

4 (15%)

 

 A

6 (86%)

91 (62%)

 

7 (70%)

17 (65%)

 

 B

0 (0%)

31 (21%)

 

3 (30%)

4 (15%)

 

 C

1 (14%)

11 (8%)

 

0 (0%)

1 (4%)

 

Within Milan criteria

9 (53%)

98 (57%)

n.s

7 (70%)

20 (77%)

n.s

Tumor differentiation

  

n.s

   

 Well

2 (29%)

34 (29%)

 

0 (0%)

6 (29%)

n.s

 Moderately

3 (43%)

68 (56%)

 

7 (78%)

12 (57%)

 

 Poorly

2 (29%)

19 (16%)

 

2 (22%)

3 (14%)

 

Vascular invasion

      

 vp ( +)

4 (57%)

48 (38%)

n.s

5 (56%)

7 (33%)

n.s

 vv ( +)

1 (14%)

11 (9%)

n.s

0 (0%)

0 (0%)

n.s

Operation time (minutes)

361 (170–526)

350 (137–983)

n.s

277 (159–413)

274 (127–580)

n.s

Blood loss (ml)

2865 (520–10,382)

1064 (0–36,000)

n.s

1711 (1270–4192)

1500 (56–7341)

n.s

 ≥ 2 sectionectomy

3 (43%)

52 (36%)

n.s

0 (0%)

2 (8%)

n.s

Complications (C–D ≥ IIIa)

1 (14%)

29 (20%)

n.s

4 (40%)

4 (15%)

n.s

Mortality

1 (14%)

8 (6%)

n.s

1 (10%)

0 (0%)

n.s

PT-INR on POD5

1.19 (1.10–1.71)

1.12 (0.92–1.52)

n.s

1.21 (0.98–1.49)

1.18 (0.94–1.51)

n.s

Total bilirubin on POD5 (mg/dl)

1.5 (0.7–11.2)

0.9 (0.3–8.3)

0.024

1.2 (0.5–2.8)

1.0 (0.4–4.7)

n.s

  1. Differences were considered significant at p < 0.05, shown as italic values
  2. AFP alpha fetoprotein, DCP des-γ-carboxyprothrombin, BCLC stage Barcelona clinic liver cancer stage, C–D Clavien–Dindo, POD postoperative day, vp ( +) portal vein invasion including microvascular invasion, vv ( +) hepatic vein invasion including microvascular invasion