Effects of Anesthesia on Tumor Immunity and Insulin Resistance During Perioperative Period

Inclusion Criteria: 1. The patients aged from 18 to 60 years old were ASA level I to II, and the informed consent was signed by the patients, which was approved by the ethics committee of the hospital. 2. Cervical squamous cell carcinoma was confirmed by cervical biopsy before pathologic surgery. CT showed no distant metastasis. All patients underwent total hysterectomy, bilateral adnexectomy and pelvic lymph node dissection. 3. Fasting blood glucose was normal without diabetes, impaired glucose tolerance or other metabolic diseases. 4. no gastric emptying dysfunction. Exclusion Criteria: 1. Dabetes 2. Patients with obstruction of gastric emptying, such as pyloric obstruction, gastroesophageal reflux, nausea and vomiting, etc 3. Obese (BMI \>32) or severely malnourished (BMI\<18.5) 4. Distant metastasis, multiple primary cancers and recurrent tumors 5. Patients with functional disorders of respiratory system, circulatory system, immune system, nervous system, urinary system and other organs 6. Received blood transfusion and nutritional support within 2 weeks before surgery 7. The supplement contains the sugar solution, the blood transfusion, the application glucocorticoid, the sympathetic blood vessel activity medicine in the operation.