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. 2025 May 27;17(5):100428.
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  1 , Yan-Guang Su  2 , Zhu-Hua Shen  2 , Yan-Li Zhang  2 , Yong-Yi Ma  3
Affiliations

Construction and application of composite insulation scheme in the perioperative period of patients undergoing laparoscopic colorectal cancer surgery

Ling-Jun Du et al. World J Gastrointest Surg. .

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.

Keywords: Colorectal cancer; Composite insulation scheme; Elderly patients; Hypothermia prevention; Laparoscopic surgery; Perioperative care.

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Conflict of interest statement

Conflict-of-interest statement: The authors declare that they have no conflict of interest.

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