Colorectal Cancer
Conditions
Keywords
Colorectal cancer, Surgical stress response, interleukins
Brief summary
Based on our previous research, this study aims to determine reliable surgical stress response markers in patients undergoing radical resection of colorectal cancer.
Detailed description
Every surgical intervention represents a stress for patient's organism. During the operation, numerous changes in the patient's metabolism take place, that are termed surgical stress response. Leading cause of surgical stress response is tissue destruction that always accompanies operations. Surgical stress response is effected through activation of hypothalamus-pituitary-adrenal axis and through sympathetic activation. The consequences of surgical stress response are numerous. Surgical stress response is essential to uneventful postoperative recovery. On the other hand, excessive surgical stress response may lead to serious postoperative complications, such as heart and kidney failure, venous thrombosis, disruption of operative wound and wound infection. In prior studies the investigators have shown the kinetics of postoperative serum interleukin changes after radical resection of gastric cancer. This study aims at determining reliable markers of surgical stress response severity in patients undergoing radical resection of colorectal cancer.
Interventions
Open radical resection of colorectal cancer, according to oncological principals, depending on the tumor site
Sponsors
Study design
Eligibility
Inclusion criteria
* Pathohistologically verified colorectal cancer
Exclusion criteria
* Distant metastases noticed before or during surgery * History of autoimmune diseases or immunodeficiencies * Use of immunomodulatory drugs within 1 year prior to surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative changes of serum cytokine levels | 1 day, 2 days and 7 days postoperatively | Serum cytokine levels will be determined at 1st, 2nd and 7th postoperative day and compared to preoperative values. |
Secondary
| Measure | Time frame |
|---|---|
| Early postoperative complications | Within one month after surgery |
Countries
Croatia