Key result
Laparoscopic surgery and higher PNI linked to fewer complications and better survival in gastric cancer.
Why the study?
Does laparoscopic surgery and adequate nutritional status reduce postoperative complications and improve long-term survival in gastric cancer patients undergoing gastrectomy?
Does laparoscopic surgery and adequate nutritional status reduce postoperative complications and improve long-term survival in gastric cancer patients undergoing gastrectomy?
The Prognostic Nutritional Index (PNI) is a critical independent predictor for both short-term postoperative complications and long-term survival in patients undergoing gastrectomy for gastric cancer.
Supports PNI assessment and laparoscopic gastrectomy in gastric cancer; extends observational consensus but leaves practice change open pending RCTs.
Laparoscopic surgery and adequate nutritional status are associated with a reduced incidence of postoperative complications. The PNI, LVI, TNM stage, ALB, CA19-9, age, and CEA were identified as independent perioperative risk factors for long-term survival in gastric cancer patients undergoing gastrectomy. The PNI is an independent factor influencing both short-term complications and long-term survival.
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Li et al. (2026) studied this question. Laparoscopic surgery and higher PNI reduce postoperative complications, and PNI independently predicts both short-term complications and long-term survival in gastric cancer.
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