Effect of ultrasound-guided lumbar square muscle block on stress response in patients undergoing radical gastric cancer surgery

doi:10.4251/wjgo.v15.i12.2093

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World Journal of Gastrointestinal Oncology

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1948-5204

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Oncol. Dec 15, 2023; 15(12): 2093-2100
Published online Dec 15, 2023. doi: 10.4251/wjgo.v15.i12.2093

Effect of ultrasound-guided lumbar square muscle block on stress response in patients undergoing radical gastric cancer surgery

Xin-Ran Wang, Dan-Dan Xu, Meng-Jiao Guo, Yi-Xin Wang, Meng Zhang, Dong-Xiao Zhu

Xin-Ran Wang, Dan-Dan Xu, Meng-Jiao Guo, Yi-Xin Wang, Meng Zhang, Dong-Xiao Zhu, Department of Ultrasound, Affiliated Hospital of Jiangnan University, Wuxi 214122, Jiangsu Province, China

Co-first authors: Xin-Ran Wang and Dan-Dan Xu.

Author contributions: Wang XR and Xu DD contributed equally to this work; Wang XR, Xu DD, Guo MJ, Wang YX, Zhang M, and Zhu DX designed the research study; Wang XR, Xu DD, Guo MJ, Wang YX, Zhang M, and Zhu DX performed the research; Xu DD and Guo MJ contributed new reagents and analytic tools; Wang XR, and Zhu DX analyzed the data and wrote the manuscript; All authors have read and approve the final manuscript. Wang XR and Xu DD contributed equally to this work as co-first authors. The decision to designate Wang XR and Xu DD as co-first authors is based in three primary reasons. First, the research was performed as a collaborative effort, and the designation of co-first authors accurately reflects the distribution of responsibilities and burdens associated with the time and effort required to complete the study and the resultant manuscript. Designating two first authors will ensure effective communication and management of post-submission matters, which will enhance the paper's quality and reliability. Second, the research team consisted of authors with diverse expertise and skills from various fields, and the designation of two co-first authors best reflects this diversity. This also promotes the most comprehensive and in-depth examination of the research topic, ultimately enriching readers' understanding by offering various expert perspectives. Third, both Wang XR and Xu DD Made substantial and equal contributions throughout the research process. Selecting these researchers as co-first authors acknowledges and respects their equal contribution and exemplifies the collaborative spirit and teamwork within this study. In summary, we believe that designating Wang XR and Xu DD as co-first authors is fitting for our manuscript as it accurately reflects our team's collaborative spirit, equal contributions, and diversity.

Institutional review board statement: This study was reviewed and approved by the Affiliated Hospital of Jiangnan University.

Informed consent statement: Prior to the study, informed consent forms were obtained from all patients.

Conflict-of-interest statement: All authors have no conflicts of interest.

Data sharing statement: No additional data are available.

Corresponding author: Dong-Xiao Zhu, Doctor, Staff Physician, Department of Ultrasound, Affiliated Hospital of Jiangnan University, No. 1000 Hefeng Road, Wuxi 214122, Jiangsu Province, China. acm18990505@163.com

Received: September 12, 2023
Peer-review started: September 12, 2023
First decision: September 26, 2023
Revised: October 7, 2023
Accepted: November 25, 2023
Article in press: November 25, 2023
Published online: December 15, 2023
Processing time: 92 Days and 19.9 Hours

ARTICLE HIGHLIGHTS

Research background

Future studies should focus on optimizing the clinical application of ultrasound-guided quadratus lumborum block and exploring its efficacy in combination with other interventions to enhance postoperative recovery and minimize complications.

Research motivation

To investigate the effects of an ultrasound-guided quadratus lumborum block on stress response and intestinal barrier function in patients with gastric cancer.

Research objectives

The observation group exhibited significantly lower plasma adrenaline and cortisol levels during surgery and on the first day postoperatively compared to the control group (P < 0.05).

Research methods

A total of 100 patients who underwent radical surgery for gastric cancer were randomly assigned to either the observation or the control group (50 patients each). Plasma adrenaline and cortisol levels, intestinal mucosal barrier indexes, and complication rates were compared between the two groups before, during, and on the first day after surgery.

Research results

The observation group exhibited significantly lower plasma adrenaline and cortisol levels during surgery and on the first day postoperatively compared to the control group (P < 0.05).

Research conclusions

Ultrasound-guided quadratus lumborum block aids in preserving intestinal barrier function and reducing the incidence of postoperative complications, thereby demonstrating its potential clinical applicability.

Research perspectives

Radical surgery for gastric cancer can lead to postoperative complications and intestinal barrier dysfunction owing to surgical trauma and stress.