Colon Carcinoma
Conditions
Keywords
colon carcinoma, liquid treatment, fast-track surgery
Brief summary
To compare the influence of two different fluid administration strategies on the clinical efficacy of patients with colorectal carcinoma during the fast-track surgery.
Detailed description
Patients that were diagnosed with colorectal carcinoma by the First Hospital of Jilin University and were scheduled to undergo the laparoscopic surgery were prospectively included and divided into the experimental group and the control group with the random number method. After surgery, patients in the experiment group were provided with intravenous fluid administration at 1.0ml/Kg/h and encouraged to take food and drink water early after surgery, and the intravenous fluid administration was stopped immediately when the oral intake was more than 1500ml/h; patients in the control group strictly followed the fasting and were provided with the intravenous fluid administration according to Total amount of fluid = physiological requirement + additional loss (fever + gastrointestinal decompression) + amount lost until their intestinal function completely recovered. The blood volume change indicators (heart rate, mean arterial pressure, oxyhemoglobin saturation, inferior vena cava diameter /body surface area (VCD), intra-abdominal pressure, specific gravity of urine, BNP, etc.) and inflammation indicators (CRP, IL-6, TNF-a) of the two groups of patients were observed and a comparison was made of the recovery time of intestinal function, incidence of complications, hospitalization time after operation and hospitalization expenses of the two groups.
Interventions
PROCEDUREfluid administration
After surgery, patients in the experiment group were provided with intravenous fluid administration at 1.0ml/Kg/h and encouraged to take food and drink water early after surgery, and the intravenous fluid administration was stopped immediately when the oral intake was more than 1500ml/h; patients in the control group strictly followed the fasting and were provided with the intravenous fluid administration according to Total amount of fluid = physiological requirement + additional loss (fever + gastrointestinal decompression) + amount lost until their intestinal function completely recovered.
Sponsors
Quan Wang
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
1. the age of 18-70 years old 2. the pathological diagnosis of colon cancer patients 3. no surgical intervention.
Exclusion criteria
1. patients with heart, lung, liver, renal function were significantly abnormal 2. body mass index kg \>35 / m2 3. pregnancy 4. sepsis or systemic inflammatory response syndrome patients. 5. patients with severe malnutrition.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| recovery time of intestinal function | within the first 30 days (plus or minus 3 days) after surgery |
Secondary
| Measure | Time frame |
|---|---|
| TNF-alpha | the first day to the forth day After the operation |
| CRP[=C reactive protein]ba | the first day to the forth day After the operation |
| IL-10[=interleukin-10] | the first day to the forth day After the operation |
| BNP[=type B natriuretic peptide] | the first day to the forth day After the operation |
| hospitalization time after operation（day） | within the first 30 days (plus or minus 3 days) after surgery |
Other
| Measure | Time frame |
|---|---|
| body weight（Kg） | Twenty-fourth hours after operation and before operation |
| stat body height（m） | Twenty-fourth hours after operation and before operation |
| inferior vena cava diameter（mm） | Twenty-fourth hours after operation and before operation |
Outcome results
None listed