Overview
This prospective observational study aims to evaluate whether preoperative immune-nutritional markers-specifically the Prognostic Nutritional Index (PNI), HALP score, Neutrophil-to-Lymphocyte Ratio (NLR), and C-Reactive Protein (CRP)-can predict early postoperative clinical outcomes such as time to oral intake, mobilization, complications, and length of hospital stay in patients undergoing elective laparoscopic sleeve gastrectomy.
Eligibility
Inclusion Criteria:
- Age between 18 and 65 years
- Body mass index (BMI) ≥ 35 kg/m²
- Scheduled for elective laparoscopic sleeve gastrectomy
- Availability of complete preoperative laboratory test results
- Signed informed consent
Exclusion Criteria:
- Severe hepatic or renal dysfunction
- Presence of active infection
- History of immunosuppressive therapy or hematologic malignancy
- Need for intensive care unit (ICU) admission within the first 72 hours postoperatively
- Preoperative administration of albumin or blood products