Observation items
gastrointestinal symptoms, intraoperative bleeding, abdominal pain, lung infection, bile leak, jaundice, abdominal infection
PLEURAL EFFUSION, RECURRENCE, METASTASIS, LIVER, LUNG INFECTION, BILE LEAK, ABDOMINAL INFECTION, INTRAOPERATIVE BLEEDING, COMPLICATIONS
Statistics on the surgical situation, complications and follow-up results of the two groups. Observation of liver function and immune function before and 1 week after surgery in both groups.Surgery: Comparison of the time of surgery, intraoperative bleeding, length of hospital stay and time of anal venting between the two groups.Liver function: Venous blood was drawn from patients before and 1 week after surgery, and Aspartate aminotransferase (AST), total bilirubin (TBiL), alanine transaminase (ALT) and albumin (ALB) were measured using an AU5800 automatic biochemistry instrument manufactured by American Beckman Coulter.Immune function: 5ml of venous blood was drawn from patients before and 1 week after surgery, centrifuged at 3000r/min (10 min) and sent for examination of induced T cells (CD4+), mature T lymphocytes (CD3+) and CD4+/suppressor T cells (CD4+/CD8+).Complications: The occurrence of complications such as pleural effusion, bile leak, abdominal infection and lung infection were counted in both groups.Follow-up: Patients were followed up at 6th month, 12th months, 2nd and 3rd year after surgery by telephone, WeChat or home visits after surgery. Consult the patient for symptoms such as abdominal pain, jaundice, gastrointestinal symptoms, etc. If present, the patient should go to the clinic for relevant investigations, in combination with clinical symptoms along with AFP levels and PET-CT results to determine recurrence or metastasis.