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Effects of different insulation temperatures of an inflatable insulation system on patients receiving right hemicolectomy using the laparoscopic caudal approach

Yuanyuan Li

Yuanyuan Li

  • School of Nursing, Yangzhou University YangzhouChina
  • General Surgery Institute of Yangzhou, Yangzhou UniversityYangzhou, China
  • Dongtai People's HospitalYancheng, China
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Li, Yuanyuan
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Daorong Wang

Daorong Wang

  • General Surgery Institute of Yangzhou, Yangzhou UniversityYangzhou, China
  • School of Clinical Medicine, Yangzhou UniversityYangzhou, China
  • Yangzhou Key Laboratory of Basic and Clinical Transformation of Digestive/Metabolic DiseasesYangzhou, China
  • Subei People's HospitalYangzhou, China
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Wang, Daorong
  
12 set 2022
Effects of different insulation temperatures of an inflatable insulation system on patients receiving right hemicolectomy using the laparoscopic caudal approach's Cover Image
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Categoria dell'articolo: Original Study
Pubblicato online: 12 set 2022
Pagine: 395 - 401
Ricevuto: 29 nov 2021
Accettato: 03 mag 2022
DOI: https://doi.org/10.2478/ahem-2022-0044
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© 2022 Yuanyuan Li et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Fig. 1

Core temperatures (nasopharyngeal temperatures) at different time points. a P < 0.05 vs. Group B, b P < 0.05 vs. Group C
Core temperatures (nasopharyngeal temperatures) at different time points. a P < 0.05 vs. Group B, b P < 0.05 vs. Group C

Fig. 2

Hemodynamic blood coagulation indices at different time points. a P < 0.05 vs. T0, b P < 0.05 vs. T5. At T3, c P < 0.05 vs. Group B, d P < 0.05 vs. Group D
Hemodynamic blood coagulation indices at different time points. a P < 0.05 vs. T0, b P < 0.05 vs. T5. At T3, c P < 0.05 vs. Group B, d P < 0.05 vs. Group D

Fig. 3

Levels of stress indicators and inflammatory factors at different time points. a P < 0.05 vs. T0. At the same time point, b P < 0.05 vs. Group A, c P < 0.05 vs. Group B, d P < 0.05 vs. Group D
Levels of stress indicators and inflammatory factors at different time points. a P < 0.05 vs. T0. At the same time point, b P < 0.05 vs. Group A, c P < 0.05 vs. Group B, d P < 0.05 vs. Group D

Fig. 4

Hemodynamic parameters at different time points. At the same time point, a P < 0.05 vs. Group B, b P < 0.05 vs. Group D
Hemodynamic parameters at different time points. At the same time point, a P < 0.05 vs. Group B, b P < 0.05 vs. Group D

Fig. 5

Rapid blood glucose levels at different time points (mmol/L). At the same time point, a P < 0.05 vs. Group B, b P < 0.05 vs. Group D
Rapid blood glucose levels at different time points (mmol/L). At the same time point, a P < 0.05 vs. Group B, b P < 0.05 vs. Group D

Anesthesia waking time and extubation time

Group Anesthesia waking time (min) Extubation time (min)
A (n=33) 17.23±1.74ab 22.41±1.97ab
B (n=33) 22.67±2.23c 28.63±2.29c
C (n=33) 14.61±3.51b 19.84±3.62c
D (n=33) 28.07±2.57 33.32±3.02

General data of patients with colorectal cancer in the four groups

Group Age (Y) Gender (M/F) Basal body temperature (°C) ASA grade (I/II) TNM stage (II/III/IV)
A (n=33) 59.61±3.23 18/15 36.21±0.36 14/19 8/16/9
B (n=33) 57.81±3.64 17/16 36.54±0.35 15/18 7/15/11
C (n=33) 60.07±3.21 17/16 36.37±0.34 16/17 8/17/8
D (n=33) 58.52±3.14 16/17 36.07±0.28 15/18 9/12/12
t/χ2 0.215 0.204 0.224 0.227 0.218
P 0.121 0.132 0.116 0.112 0.119

Perioperative indicators in the four groups

Group Operation time (min) Anesthesia duration (min) Intraoperative blood loss (mL) Intraoperative infusion volume (mL) Urine volume (mL) Abdominal flushing volume (mL)
A (n=33) 180.3±54.5 203.4±41.3 51.23±14.35 205.6±31.4 755±289 1230±234
B (n=33) 183.8±50.8 205.6±42.5 53.80±13.89 209.8±35.6 734±211 1338±239
C (n=33) 182.6±46.7 202.9±48.9 52.77±15.00 203.4±28.9 769±234 1340±278
D (n=33) 181.9±53.2 204.8±48.7 52.09±14.35 205.4±23.1 750±287 1389±290
t/x2 0.338 0.285 0.370 0.458 0.799 0.189
P 0.103 0.112 0.096 0.120 0.198 0.811

Intervention frequency

Group Intervention frequency (min)
A (n=33) 2.69±0.21ab
B (n=33) 2.15±0.19c
C (n=33) 1.03±0.11b
D (n=33) 3.27±0.26

Postoperative BIS values

Group BIS at propofol discontinuation Time from propofol discontinuation to BIS ≥ 80 (min) Propofol effect compartment concentration at BIS ≥ 80 (mg/L)
A (n=33) 55.39±5.17 26.23±2.16ab 1.03±0.23ab
B (n=33) 54.76±5.12 22.16±2.11c 0.81±0.21c
C (n=33) 53.87±5.21 15.97±1.47c 1.32±0.29c
D (n=33) 54.26±5.23 30.51±3.01 0.69±0.07
Lingua:
Inglese
Frequenza di pubblicazione:
1 volte all'anno
Argomenti della rivista:
Scienze biologiche, Biologia molecolare, Microbiologia e virologia, Medicina, Scienze medicali di base, Immunologia
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