Xia LC, Zhang K, Wang CW. Effects of fluid therapy combined with a preoperative glucose load regimen on postoperative recovery in patients with rectal cancer. World J Gastrointest Surg 2024; 16(8): 2662-2670 [PMID: 39220080 DOI: 10.4240/wjgs.v16.i8.2662]
Corresponding Author of This Article
Ke Zhang, MMed, Attending Doctor, Department of Emergency Medicine, Jiujiang First People's Hospital, No. 48 Taling South Road, Xunyang District, Jiujiang 332000, Jiangxi Province, China. zk18720166866@126.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Randomized Controlled Trial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Aug 27, 2024; 16(8): 2662-2670 Published online Aug 27, 2024. doi: 10.4240/wjgs.v16.i8.2662
Table 1 Comparison of operative conditions, mean ± SD
Group
Number of cases
Operation time (minute)
Intraoperative bleeding volume (mL)
Crystalloid liquid (mL)
Colloid fluid (mL)
Total infusion volume (mL)
Urine volume (mL)
Observation group
92
183.61 ± 8.52
249.25 ± 10.22
1134.69 ± 20.98
521.06 ± 10.52
1908.25 ± 20.66
321.58 ± 10.52
Control group
92
183.67 ± 8.55
248.63 ± 10.36
1129.87 ± 20.55
532.05 ± 10.56
1915.58 ± 20.32
522.14 ± 10.777
t value
0.048
0.409
1.574
7.072
2.426
127.733
P value
0.962
0.683
0.117
< 0.001
0.016
< 0.001
Table 2 Comparison of blood lactic acid levels, mean ± SD
Group
Number of cases
Blood lactic acid level (mmol/L)
Immediately after entering operating room
Immediately after surgery
Observation group
92
1.09 ± 0.22
1.24 ± 0.24
Control group
92
1.10 ± 0.25
1.38 ± 0.29
t value
0.288
3.567
P value
0.774
< 0.001
Table 3 Comparison of postoperative recovery, mean ± SD
Group
Number of cases
Time to first exhaust (h)
Time to tracheal extubation (h)
Time to food intake (h)
Postoperative hospital stay (d)
Observation group
92
72.63 ± 6.88
0.66 ± 0.16
67.58 ± 4.28
11.14 ± 1.22
Control group
92
90.51 ± 6.40
0.69 ± 0.17
77.25 ± 4.63
14.78 ± 1.40
t value
18.251
1.233
14.710
18.801
P value
< 0.001
0.219
< 0.001
< 0.001
Table 4 Comparison of cognitive condition (mean ± SD, points)
Group
Number of cases
Mini-Mental State Examination score
Preoperatively
3 d after surgery
Observation group
92
27.42 ± 1.05
26.77 ± 1.15
Control group
92
27.33 ± 1.11
25.01 ± 1.25
t value
0.565
9.939
P value
0.573
< 0.001
Table 5 Comparison of hemodynamic indicators, mean ± SD
Group
Number of cases
HR (times/min)
Mean arterial pressure (mmHg)
Pulse pressure variability (%)
T0
T1
T2
T3
T4
T0
T1
T2
T3
T4
T0
T1
T2
T3
T4
Observation group
92
66.41 ± 4.55
67.25 ± 5.66
68.69 ± 4.60
68.99 ± 4.05
70.11 ± 4.05
76.02 ± 4.05
78.10 ± 6.25
80.01 ± 6.11
81.98 ± 6.40
83.99 ± 6.24
-
11.75 ± 1.02
9.87 ± 0.98
12.79 ± 1.13
8.82 ± 0.76
Control group
92
66.78 ± 4.25
67.05 ± 5.14
68.25 ± 4.05
68.11 ± 4.14
70.25 ± 4.22
76.27 ± 5.60
77.89 ± 6.11
80.25 ± 6.45
82.66 ± 6.52
84.14 ± 6.66
-
12.01 ± 1.25
9.89 ± 0.94
14.96 ± 1.35
9.02 ± 0.77
t value
0.570
0.251
0.689
1.457
0.230
0.347
0.230
0.259
0.714
0.158
1.546
0.141
11.823
1.773
P value
0.569
0.802
0.492
0.147
0.819
0.729
0.818
0.796
0.476
0.875
0.124
0.888
< 0.001
0.078
Table 6 Comparison of inflammatory factor levels, mean ± SD
Group
Number of cases
TNF-α (mg/L)
IL-6 (ng/L)
Preoperatively
3 d after surgery
Preoperative
3 d after surgery
Observation group
92
60.14 ± 4.03
32.53 ± 3.06
80.25 ± 8.79
41.26 ± 4.03
Control group
92
60.22 ± 4.14
38.77 ± 3.14
80.36 ± 8.41
52.06 ± 4.19
t value
0.133
13.651
0.087
17.819
P value
0.894
< 0.001
0.931
< 0.001
Table 7 Comparison of oxygen metabolism in brain tissue, mean ± SD
Group
Number of cases
Left rScO2 (%)
Right rScO2 (%)
T1
T2
T3
T1
T2
T3
Observation group
92
72.05 ± 6.25
68.41 ± 5.05
66.10 ± 6.31
70.22 ± 6.37
67.08 ± 5.40
65.11 ± 4.06
Control group
92
72.11 ± 6.45
64.25 ± 5.11
62.08 ± 6.16
70.40 ± 6.49
64.99 ± 5.19
61.78 ± 4.27
t value
0.064
5.554
4.373
0.190
2.677
5.421
P value
0.949
< 0.001
< 0.001
0.850
0.008
< 0.001
Table 8 Comparison of incidence of complications, n (%)
Group
Number of cases
Nausea and vomiting
Wound infection
Pulmonary infection
Urinary system infection
Total incidence
Observation group
92
1 (1.09)
1 (1.09)
0
0
2 (2.17)
Control group
92
2 (2.17)
3 (3.26)
0
0
5 (5.43)
χ2
0.594
P value
0.441
Citation: Xia LC, Zhang K, Wang CW. Effects of fluid therapy combined with a preoperative glucose load regimen on postoperative recovery in patients with rectal cancer. World J Gastrointest Surg 2024; 16(8): 2662-2670