Assessment of Platelet-to-Lymphocyte and Neutrophil-toLymphocyte Ratios in Laparoscopy and Open Surgery

Aziz Ari and Kenan Buyukasik

Department of General Surgery, Istanbul Training and Research Hospital, Turkey

^*Correspondance to: Aziz Ari 

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Abstract:

Background: The management of inflammation is of great importance in both laparoscopy and open surgery. In these surgical applications, assessment of the Neutrophil-Lymphocyte Ratio (NLR) and the platelet-to-lymphocyte ratio (PLR), which are indicators of inflammatory events, may be beneficial for the surgeon.
Methods: A post-hoc analysis was made of the data of 74 abdominal laparoscopy patients. For each patient, the preoperative characteristics, injury types, NLR and PLR values, and postoperative condition were recorded.
Results: A total of 30 patients (44.8%) survived with an abdominal deep organ injury. Due to the insufficiency or incompatibility of laparoscopy, transfer to open surgery was made in 74 cases. In the correlation analysis of all the continuous variables, while NLR showed a positive relation with PLR (r=0.932; p<0.00001), this correlation was not seen with lactate values. Both NLR and PLR were significantly increased in the open surgery cases compared to the laparoscopic cases (p=0.029 and p=0.047, respectively).
Conclusion: Assessing NLR and PLR levels in patients with penetrating abdominal trauma may provide cost-effective and easy-to-use information about abdominal inflammation. The higher NLR and PLR values suggest necessity for open surgery instead of laparoscopic surgery.

Keywords:

Neutrophil-to-lymphocyte ratio; Platelet-to-lymphocyte ratio; Penetrating abdominal trauma; Laparoscopy

Cite the Article:

Ari A, Buyukasik K. Assessment of Platelet-to-Lymphocyte and Neutrophilto-Lymphocyte Ratios in Laparoscopy and Open Surgery. World J Surg Surgical Res. 2018; 1: 1051.