He LH, Yang B, Su XQ, Zhou Y, Zhang Z. Comparison of clinical efficacy and postoperative inflammatory response between laparoscopic and open radical resection of colorectal cancer. World J Clin Cases 2022; 10(13): 4042-4049 [PMID: 35665125 DOI: 10.12998/wjcc.v10.i13.4042]
Corresponding Author of This Article
Long-Hai He, BM BCh, Associate Chief Physician, Department of General Surgery, The First People's Hospital of Wanzhou District, No. 388 East Tiancheng Road, Wanzhou District, Chongqing 404040, China. helh2021@163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Retrospective Study
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 Clin Cases. May 6, 2022; 10(13): 4042-4049 Published online May 6, 2022. doi: 10.12998/wjcc.v10.i13.4042
Table 1 Comparison of perioperative conditions between the two groups (mean ± SD)
Groups
Cases
Operating time (min)
Intraoperative blood loss (mL)
Recovery time of gastrointestinal function (h)
No. of lymph node dissections (bout)
Hospital stay (d)
Study group
48
186.18 ± 33.54
111.34 ± 21.45
25.35 ± 4.55
15.19 ± 3.04
10.09 ± 2.38
Control group
48
129.38 ± 26.83
163.77 ± 32.41
36.06 ± 7.13
16.20 ± 298
13.51 ± 3.66
t
9.162
9.346
8.773
1.643
5.427
P
0.000
0.000
0.000
0.104
0.000
Table 2 Comparison of inflammatory response index levels before and after the operation between the two groups (mean ± SD)
Time
Groups
Cases
CRP (mg/L)
IL-6 (ng/mL)
IL-8 (ng/L)
IL-10 (ng/L)
Before the operation
Study group
48
7.98 ± 2.33
9.79 ± 4.11
3.79 ± 1.71
48.96 ± 12.51
Control group
48
8.29 ± 2.60
10.56 ± 3.78
4.08 ± 1.45
50.13 ± 11.67
t
0.615
0.955
0.896
0.474
P
0.540
0.342
0.373
0.637
After the operation
Study group
48
14.91 ± 5.56
19.11 ± 6.68
12.61 ± 3.69
36.48 ± 9.39
Control group
48
21.79 ± 7.33
34.03 ± 9.40
16.67 ± 4.54
28.39 ± 7.61
t
5.181
8.964
4.808
4.637
P
0.000
0.000
0.000
0.000
Table 3 Comparison of pain stress response indexes before and after operation between the two groups (mean ± SD)
Time
Groups
Cases
NPY (g/L)
PGE2 (ng/L)
5-HT (ng/L)
Before the operation
Study group
48
109.79 ± 13.46
269.54 ± 37.34
151.70 ± 18.86
Control group
48
113.29 ± 15.01
273.91 ± 40.04
148.85 ± 20.45
t
1.203
0.553
0.710
P
0.232
0.582
0.480
After the operation
Study group
48
153.13 ± 16.91
313.76 ± 40.64
218.78 ± 22.65
Controlgroup
48
178.68 ± 20.51
369.78 ± 44.37
267.64 ± 30.74
t
6.659
6.450
8.865
P
0.000
0.000
0.000
Table 4 Comparison of the incidence of complications between the two groups, n (%)
Groups
Cases
Anastomotic leakage
Ileac passion
Infection of incisional wound
Deep vein thrombosis
Total incidence rate
Study group
48
1 (2.08)
0 (0.00)
1 (2.08)
0 (0.00)
2 (4.17)
Control group
48
3 (6.25)
2 (4.17)
3 (6.25)
1 (2.08)
9 (18.75)
χ2
5.031
P
0.025
Citation: He LH, Yang B, Su XQ, Zhou Y, Zhang Z. Comparison of clinical efficacy and postoperative inflammatory response between laparoscopic and open radical resection of colorectal cancer. World J Clin Cases 2022; 10(13): 4042-4049