RESULTS
communication difficulties, liver dysfunction, mental disorder, POCD
SECONDARY, INSULIN RESISTANCE
A total of 114 patients completed the trial. Five patients from the TTM group and six patients from the PLA group were excluded from the study for the following reasons: mental disorder (two), liver dysfunction (three), secondary surgery (three) and communication difficulties (three). Finally, date for 103 patients were finally analysed with 52 in the TTM group and 51 in the PLA group (Figure Patient flow diagram.Demographic, clinical and surgical characteristics.Compared with the day before surgery, the MoCA scores were significantly decreased at 1 week after surgery in all patients (Comparison of POCD incidence and MoCA scores in two groups.


Intra‐ and post‐operative clinical outcomes.
There were no significant differences between the groups in time to first faeces and time to drain removal (Table There were no significant differences in the serum levels of S‐100β, TNF‐α, IL‐6, insulin, glucose, HOMA‐IR between both groups at base value (Table Measures of blood markers and insulin resistance.
