Variables | All patients (n=316) | Low PNI group | High PNI group | P-value* |
---|---|---|---|---|
PNI <  50 (n=174) | PNI ≥ 50 (n=142) | |||
Preoperative factors | ||||
 Male, n (%) | 187 (59.1%) | 100 (57.5%) | 87 (61.3%) | 0.495 |
 Age (years), median (IQR) | 71 (63–76) | 72.5 (66–79) | 68 (62–74) | 0.002 |
 BMI, median (IQR) | 22.1 (20.0–24.8) | 22.0 (19.2–24.0) | 22.8 (21.0–25.2) | 0.048 |
 Lymphocytes (/ul), median (IQR) | 1560 (1190-1931) | 1328 (1058-1625) | 1894 (1508-2332) | <.0001 |
 Neutrophils (/ul), median (IQR) | 3652 (2834-4908) | 3692 (2781-5027) | 3634 (2920-4474) | 0.759 |
 Monocytes (/ul), median (IQR) | 342 (277–440) | 342 (270–436) | 342 (281–442) | 0.669 |
 Platelet count (104/uL), median (IQR) | 19.9 (15.4–24.5) | 19.9 (14.5–25.4) | 20.1 (16.8–23.6) | 0.827 |
 Total Bilirubin (mg/dl), median (IQR) | 0.7 (0.5–0.9) | 0.7 (0.50–0.90) | 0.7 (0.54–0.90) | 0.698 |
 Albumin (mg/dl), median (IQR) | 4.1 (3.8–4.4) | 3.8 (3.5–4.1) | 4.3 (4.3–4.6) | <0.001 |
 AST (U/L), median (IQR) | 29 (22–39) | 29 (22–42) | 29 (23–37) | 0.978 |
 ALT (U/L), median (IQR) | 25 (16–39) | 24 (15–39) | 27 (18–38) | 0.142 |
 Prothrombin time (INR), median (IQR) | 1.03 (0.97–1.10) | 1.04 (1.0–1.13) | 1.01 (0.95–1.07) | <.0001 |
 Total Cholesterol (mg/dL), median (IQR) | 185 (166–211) | 180 (156–206) | 194 (173–220) | 0.015 |
 HBV-Ag, n (%) | 18 (5.7%) | 11 (6.3%) | 7 (4.9%) | 0.595 |
 HCV-Ab, n (%) | 47 (14.9%) | 29 (16.7%) | 18 (12.7%) | 0.321 |
 CRP (mg/dl), median (IQR) | 0.2 (0.09–0.70) | 0.3 (0.10–1.04) | 0.16 (0.08–0.34) | 0.010 |
 Preoperative chemotherapy, n (%) | 7 (2.2%) | 6 (3.5%) | 1 (0.7%) | 0.099 |
Tumor factor | ||||
 Morphology, n (%) | ||||
  Mass-forming (MF) | 234 (74.5%) | 123 (71.1%) | 111 (78.7%) | 0.260 |
  Periductal-infiltrating (PI) | 30 (9.6%) | 16 (9.3%) | 14 (9.9%) |  |
  MF+PI | 34 (10.8%) | 23 (13.3%) | 11 (7.8%) |  |
  Intraductal Growth | 16 (5.1%) | 11 (6.3%) | 5 (3.6%) |  |
Tumor size (cm), median (IQR) | 4.0 (2.8–6.5) | 4.5 (3.0–7.0) | 4.0 (2.5–6.0) | 0.253 |
Multi-nodular, n (%) | 63 (19.9%) | 35 (20.1%) | 28 (19.7%) | 0.930 |
 Localization, n (%) | ||||
  Hilar | 111 (35.1%) | 72 (41.4%) | 39 (27.5%) | 0.010 |
  Peripheral | 205 (64.9%) | 102 (58.6%) | 103 (72.5%) |  |
CEA (ng/ml), median (IQR) | 2.90 (1.80–5.87) | 3.1 (2.0–7.2) | 2.8 (1.6–4.7) | 0.323 |
CA19–9 (U/ml), median (IQR) | 39.4 (14.3–246.9) | 52.1 (15.8–356.2) | 26.3 (14.1–127.9) | 0.024 |
Operative factors | ||||
 Major hepatectomy, n (%) | 222 (70.3%) | 128 (73.5%) | 94 (66.2%) | 0.154 |
 Type of hepatectomy, n (%) | ||||
  Segmentectomy/Sub-segmentectomy | 82 (25.9%) | 39 (22.4%) | 43 (30.3%) | 0.196 |
  Hemihepatectomy | 221 (69.9%) | 126 (72.4%) | 95 (66.9%) |  |
  Trisectionectomy | 13 (4.1%) | 9 (5.2%) | 4 (2.82%) |  |
Lymphnode dissection, n (%) | 218 (68.9%) | 117 (67.2%) | 101 (71.1%) | 0.458 |
Bile duct resection, n (%) | 82 (25.9%) | 53 (30.4%) | 29 (20.4%) | 0.043 |
Vascular reconstruction**, n (%) | 24 (7.5%) | 16 (9.2%) | 8 (5.6%) | 0.235 |
Blood loss (ml), median (IQR) | 670 (350–1208) | 780 (380–1190) | 640 (304–1250) | 0.499 |
Operation time (min), median (IQR) | 348 (270–448) | 354 (271–465) | 333 (264–420) | 0.228 |
Pathological factors | ||||
 Serosa invasion, n (%) | 112 (35.4%) | 58 (33.3%) | 54 (38.0%) | 0.386 |
 Vascular invasion, n(%) | 160 (50.6%) | 87 (50.0%) | 73 (51.4%) | 0.947 |
 Lymph node metastasis, n(%) | 86 (27.2%) | 47 (27.0%) | 39 (27.5%) | 0.528 |
 Differentiation, n (%) |  |  |  | 0.221 |
  Well | 66 (20.9%) | 37 (21.3%) | 29 (20.4%) |  |
  Moderate | 167 (52.9%) | 84 (48.3%) | 83 (58.4%) |  |
  Poorly | 58 (18.4%) | 36 (20.7%) | 22 (15.5%) |  |
  Un-classified | 25 (7.9%) | 17 (8.7%) | 8 (5.6%) |  |
 Background liver, n (%) |  |  |  | 0.302 |
  Normal | 234 (74.0%) | 123 (70.7%) | 111 (78.2%) |  |
  Hepatitis | 60 (19.0%) | 38 (21.8%) | 22 (15.5%) |  |
  Fibrosis | 22 (7.0%) | 13 (7.5%) | 9 (6.3%) |  |
Post-operative factors | ||||
 Clavien-Dindo classification, n (%) |  |  |  | 0.019 |
  none | 205 (64.9%) | 103 (59.2%) | 102 (71.8%) |  |
  Grade I-II | 45 (14.2%) | 24 (13.8%) | 21 (14.8%) |  |
  Grade III-IV | 58 (18.4%) | 40 (23.0%) | 18 (12.7%) |  |
  Grade V | 8 (2.5%) | 7 (4.0%) | 1 (0.7%) |  |
All Complication. CD-Grade I-V | 111 (35.1%) | 71 (40.8%) | 40 (28.2%) | 0.019 |
All Complication. CD-Grade III-V | 66 (20.9%) | 47 (27.0%) | 19 (13.4%) | 0.003 |
Infectious Complication. CD-Grade I-V | 31 (9.8%) | 26 (14.9%) | 5 (3.5%) | 0.002 |
Infectious Complication. CD-Grade IIII-V | 19 (6.0%) | 17 (36.2%) *** | 2 (10.5%) *** | 0.037 |
Adjuvant chemotherapy, n (%) | 122 (38.6%) | 57 (32.7%) | 65 (45.7%) | 0.018 |