Evaluation of perioperative insulin resistance in laparoscopic colorectal surgery

Perioperative protocols in colorectal surgery.

The reduction in health-care expenditures and more efficient use of medical resources are now overriding health policy priorities with the two-pronged goal of improving patient outcomes while decreasing overall cost. Current reports show colorectal surgery accounting for 25% of all operative complications and an average length of stay of 8 to 12 days for a standard elective colon resection. To ...

Fasting Hyperglycemia and Insulin Resistance in Colorectal Adenomatous Polyps

OBJECTIVES: To investigate fasting glucose, glucose tolerance, insulin resistance and insulin–like growth factor 1 in patients with or without colorectal polyps. MATERIALS AND METHODS: In this cross-sectional study, we evaluated fasting glucose, insulin, insulin–like growth factor 1 (IGF-1), lipid profile and glucose tolerance test in 103 patients undergoing colonoscopy (52 normal and 53 wit...

Laparoscopic Colorectal Cancer Surgery

Laparoscopic Colorectal Cancer Surgery

Laparoscopic techniques have been introduced into the colorectal field since the beginning of the last decade of the last millennium. The main purpose of this minimally invasive approach is to minimise the trauma of access associated with a large abdominal incision in colorectal resection. The less traumatic approach to surgery hopefully would lead to less wound pain, hasten return of intestina...

Laparoscopic colorectal surgery.