Du LJ, Su YG, Shen ZH, Zhang YL, Ma YY. Construction and application of composite insulation scheme in the perioperative period of patients undergoing laparoscopic colorectal cancer surgery. World J Gastrointest Surg 2025; 17(5): 100428 [DOI: 10.4240/wjgs.v17.i5.100428]
Corresponding Author of This Article
Ling-Jun Du, BMed, Associate Chief Nurse, Operating Room, Huzhou Central Hospital, No. 1558 North Sanhuan Road, Huzhou 313000, Zhejiang Province, China. dlj5084@126.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Randomized Controlled Trial
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 Gastrointest Surg. May 27, 2025; 17(5): 100428 Published online May 27, 2025. doi: 10.4240/wjgs.v17.i5.100428
Construction and application of composite insulation scheme in the perioperative period of patients undergoing laparoscopic colorectal cancer surgery
Ling-Jun Du, Yan-Guang Su, Zhu-Hua Shen, Yan-Li Zhang, Yong-Yi Ma
Ling-Jun Du, Yan-Guang Su, Zhu-Hua Shen, Yan-Li Zhang, Operating Room, Huzhou Central Hospital, Huzhou 313000, Zhejiang Province, China
Yong-Yi Ma, Department of Nursing, Huzhou University, Huzhou 313000, Zhejiang Province, China
Author contributions: Du LJ made significant contributions to research design, specific experimental process management, data analysis, and manuscript writing; Du LJ, Su YG and Shen ZH made significant contributions to research design and data analysis; Zhang YL and Ma YY made significant contributions to experimental technical support and results section; Du LJ, Su YG and Ma YY contributed to experimental operation and data collection; Du LJ, Shen ZH and Zhang YL made significant contributions to research design and manuscript review process; All authors reviewed the manuscript.
Supported by the Medical and Health Research Project of Zhejiang Province, No. 2023RC276.
Institutional review board statement: The study was approved by the Ethics Committee of the Huzhou Central Hospital (No. 202209014-01). All methods were carried out in accordance with Declaration of Helsinki.
Informed consent statement: All the authors confirming that written informed consent was obtained from all subjects and/or their legal guardian(s).
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Data sharing statement: The data used to support the findings of this study are available from the corresponding author on reasonable request.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ling-Jun Du, BMed, Associate Chief Nurse, Operating Room, Huzhou Central Hospital, No. 1558 North Sanhuan Road, Huzhou 313000, Zhejiang Province, China. dlj5084@126.com
Received: August 16, 2024 Revised: January 25, 2025 Accepted: April 16, 2025 Published online: May 27, 2025 Processing time: 280 Days and 4.9 Hours
Abstract
BACKGROUND
Elderly patients undergoing laparoscopic colorectal cancer surgery are at high risk for hypothermia-related complications. This study explores the efficacy of perioperative composite insulation interventions in maintaining normothermia and reducing postoperative risks in this vulnerable group.
AIM
To evaluate the efficacy of perioperative composite insulation in older patients undergoing colorectal cancer surgery.
METHODS
We selected 100 older patients who underwent laparoscopic surgery for colorectal cancer at Huzhou Central Hospital from September 2023 to April 2024. Using a random number table, patients were divided into a control group and intervention group of 50 patients each. After returning to the regular ward, the conventional group received traditional insulation intervention measures, while the intervention group received composite insulation nursing intervention. We observed and recorded postoperative blood pressure and heart rate changes, as well as postoperative anesthesia recovery time and incidence of complications.
RESULTS
The statistical results showed significant differences (P < 0.05) in heart rate changes and systolic blood pressure between the two groups. There was a significant change in heart rate between the groups immediately after surgery and at 15 and 30 minutes after surgery (P < 0.05). The heart rate and systolic blood pressure of the intervention group were significantly lower than those of the control group at 15 and 30 minutes after surgery (P < 0.05). The rewarming time of the intervention group was shorter than that of the control group, and the overall incidence of postoperative complications was significantly lower than that of the control group (P < 0.05).
CONCLUSION
For elderly patients undergoing laparoscopic colorectal cancer surgery, a composite insulation intervention during the perioperative period can maintain body temperature, reduce postoperative stress, and significantly reduce the incidence of hypothermia and related complications.
Core Tip: This study investigated the effects of perioperative composite insulation in older patients undergoing laparoscopic colorectal cancer surgery. The intervention group received composite insulation nursing, resulting in significantly lower heart rate, systolic blood pressure, and postoperative complication rates compared to the control group. The composite insulation strategy effectively maintained body temperature and reduced postoperative stress response, improving surgical safety and postoperative recovery in older patients.
