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To explore the effect of multi-mode neuroanalgesic adjuvant on stress response and immune function in laparoscopic radical resection of colon cancer by posterior transverse abdominal fascia block

To explore the effect of multi-mode neuroanalgesic adjuvant on stress response and immune function in laparoscopic radical resection of colon cancer by posterior transverse abdominal fascia block

Status
Active, not recruiting
Phases
Early Phase 1
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2200065816
Enrollment
Unknown
Registered
2022-11-16
Start date
2022-12-15
Completion date
Unknown
Last updated
2023-05-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

colon cancer

Interventions

control group:Bilateral posterior TAP block was performed with 20mL of 0.2% ropivacaine on each side
Dexmedetomidine group:20mL of 0.2% ropivacaine + 25ug dexamete on each side bilateral posterior TAP block of Tomidine
Dexamethasone group:Bilateral posterior TAP block with 0.2% ropivacaine + 4mg dexamethasone at 20mL on each side
Dexmedetomidine combined with dexamethasone group:Bilateral posterior TAP block was performed with 20mL of 0.2% ropivacaine + 25ug dexmedetomidine + 4mg dexamethasone on each side

Sponsors

Quanzhou First Hospital affiliated to Fujian Medical University
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Patients undergoing elective laparoscopic radical resection of colon cancer; 2. Aged 18-75 years, no gender limitation; 3. ASA grade I-II; 4. Colonoscopy or operative and postoperative pathological diagnosis of colon cancer; 5. No damage or infection of abdominal skin.

Exclusion criteria

Exclusion criteria: 1. High blood pressure; 2. Allergy to study drugs and refusal to participate in the study; 3. Women who are pregnant or breastfeeding; 4. Preoperative heart rate less than 50 beats/min, heart rhythm disorder; 5. Serious heart, liver, kidney and endocrine diseases; 6. Diseases of blood system or immunity; 7. Mental illness; 8. Diabetes; 9. Preoperative examination suggested distant metastasis; 10. Long-term treatment with adrenergic agonists or antagonists; 11. Chronic pain treatment or long-term use of steroids; 12. Body mass index > 40; 13. Sleep apnea syndrome.

Design outcomes

Primary

MeasureTime frame
Duration of analgesic effect of TAP;Consumption of sufentanil ;visual analogue scale;Sedation scores;Comfort score;blood glucose;serum cortisol;adrenaline;norepinephrine;c-reactive protein;Number of CD4 + TT cells;Number of CD8 + TT cells;Ratio of CD4 + TT cells to CD8 + TT cells;NK cell number;Serum interferon ? (IFN-?) levels;

Secondary

MeasureTime frame
Postoperative bowel sounds recovery time;Time of first anal exhaust;Time to start your first liquid diet;D - lactic acid;Small intestine type fatty acid binding protein (I-FABP);Early ambulation time;length of stay;

Countries

China

Contacts

Public ContactSu Changsheng

Quanzhou First Hospital affiliated to Fujian Medical University

981835422@qq.com+86 15880435824

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026