Neutrophil lymphocyte ratio and platelet lymphocyte ratio as a predictor of postoperative complications after major oncosurgeries: A retrospective study in a tertiary cancer centre


Author(s): Joona P*, Jashma C, Roopesh Sureshan, Sonali Openja and Namaratha Divakaran

Introduction: Neutrophil Lymphocyte Ratio (NLR) and Platelet Lymphocyte Ratio (PLR) have been found to be prognostic indicators for several solid tumours. Our study aims to find out whether NLR and PLR can predict postoperative complications after major oncosurgeries.

Aim: To assess the ability of NLR and PLR in predicting postoperative complications.

Materials and Methods: Complete blood count done on the day of surgery preoperatively was recorded for 200 patients and NLR and PLR were calculated. Patients were followed up for 30 days postoperatively and analysed for complications.

Results: Postoperative wound infection, sepsis, incidence of cardiovascular and renal complications, need for vasopressor use, duration of ICU stay and postoperative hospital stay are significantly high in patients with high preoperative NLR and high preoperative PLR. But there is no significant association with 30 day mortality in both groups.

Conclusion: NLR and PLR are two simple and cost effective indices to predict postoperative complications after major oncosurgeries.

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Awards Nomination

Editors List

  • Prof. Elhadi Miskeen

    Obstetrics and Gynaecology Faculty of Medicine, University of Bisha, Saudi Arabia

  • Ahmed Hussien Alshewered

    University of Basrah College of Medicine, Iraq

  • Sudhakar Tummala

    Department of Electronics and Communication Engineering SRM University – AP, Andhra Pradesh




  • Alphonse Laya

    Supervisor of Biochemistry Lab and PhD. students of Faculty of Science, Department of Chemistry and Department of Chemis


  • Fava Maria Giovanna


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