Contrastive study on body fluid metabolism in patients with colorectal caner during laparoscopic or laparotomic surgery
10.3760/cma.j.issn.1673-4203.2010.02.004
- VernacularTitle:结直肠癌腹腔镜根治术与开放手术后机体体液代谢的对比研究
- Author:
Baoguang HU
;
Zongheng ZHENG
;
Hongbo WEI
;
Bo WEI
;
Jianglong HUANG
;
Tufeng CHEN
;
Yong HUANG
;
Weiping GUO
- Publication Type:Journal Article
- Keywords:
Laoaroscopy;
Colorectal surgery;
Colorectal neoplasms;
Body fluid;
Metabolism
- From:
International Journal of Surgery
2010;37(2):82-84
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of laporoscopic resection applied to colorectal cancer patients on metabolism. Methods According to patients' choice of operation, either laparoscopic-assisted (n = 22, experimental group) or open(n = 27, control group) resection of colorectal cancer was performed. The levels of electrolyte were assayed preoperatively, postoperatively and on the time of 24 hours after opera-tion. Rseults There was no significant difference in the level of electrolyte before operation between the two groups (P > 0. 05). Compared with the preoperative period, the level of serum potassium in the both groups were significantly increased after operation(P < 0. 05), and 24 hours later, the levels of electrolyte was not significantly different in both the two groups (P > 0. 05). During the postoperative period, the level of serum potassium in the experimental group was lower than the control group(P <0. 05), while the level of HCO_3~- was higher than the control group(P <0. 05), and there were no significant differences in the level of serum sodium, chloride and calcium between the two groups(P > 0. 05). Conclusions Laparoscopic-assisted re-section of colorectal cancer gives lower levels of stress responses compared to open surgery. However, it shows higher effect on the level of HCO_3~- , and must be paid more attention during operative and postopera-tive period.
