A systematic review of postoperative analgesia following laparoscopic colorectal surgery

Levy, Bruce; Tilney, H. S.; Dowson, H. M.; Rockall, Timothy

doi:10.1111/j.1463-1318.2009.01799.x

Cited by 101 publications

(82 citation statements)

References 40 publications

(106 reference statements)

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“…Therefore, various clinical applications such as intrathecal morphine, epidural analgesia, patient-controlled analgesia (PCA), and nonsteroidal anti-inflammatory drugs (NSAIDs) are used to control pain after a laparoscopic colectomy. 4,5 However, optimal management has not yet been established. A regional block can have technical difficulties and complications.…”

mentioning

confidence: 99%

Intravenous Lidocaine for Effective Pain Relief After a Laparoscopic Colectomy: A Prospective, Randomized, Double-Blind, Placebo-Controlled Study

Ahn

Kang

Choi

et al. 2015

International Surgery

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A perioperative intravenous lidocaine infusion has been reported to decrease postoperative pain. The goal of this study was to evaluate the effectiveness of intravenous lidocaine in reducing postoperative pain for laparoscopic colectomy patients. Fifty-five patients scheduled for an elective laparoscopic colectomy were randomly assigned to 2 groups. Group L received an intravenous bolus injection of lidocaine 1.5 mg/kg before intubation, followed by 2 mg/kg/h continuous infusion during the operation. Group C received the same dosage of saline at the same time. Postoperative pain was assessed at 2, 4, 8, 12, 24, and 48 hours after surgery by using the visual analog scale (VAS). Fentanyl consumption by patient-controlled plus investigator-controlled rescue administration and the total number of button pushes were measured at 2, 4, 8, 12, 24, and 48 hours after surgery. In addition, C-reactive protein (CRP) levels were checked on the operation day and postoperative days 1, 2, 3, and 5. VAS scores were significantly lower in group L than group C until 24 hours after surgery. Fentanyl consumption was lower in group L than group C until 12 hours after surgery. Moreover, additional fentanyl injections and the total number of button pushes appeared to be lower in group L than group C (P , 0.05). The CRP level tended to be lower in group L than group C, especially on postoperative day1 and 2 and appeared to be statistically significant. The satisfaction score was higher in group L than group C (P ¼ 0.024). Intravenous lidocaine infusion during an operation reduces pain after a laparoscopic colectomy.

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mentioning

confidence: 99%

Intravenous Lidocaine for Effective Pain Relief After a Laparoscopic Colectomy: A Prospective, Randomized, Double-Blind, Placebo-Controlled Study

Ahn

Kang

Choi

et al. 2015

International Surgery

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“…At present, there is no convincing evidence to suggest the superiority of either PCA or epidural in terms of length of hospital stay for laparoscopic colorectal surgery. In the short term, no significant difference has been identified in terms of adverse events, although postoperative pain appears better controlled in the epidural group [53].…”

Section: (100% [Strong Consensus]; Gor C: 100% [Strong Consensus])mentioning

confidence: 87%

Laparoscopic extraperitoneal rectal cancer surgery: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)

et al. 2011

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Background The laparoscopic approach is increasingly applied in colorectal surgery. Although laparoscopic surgery in colon cancer has been proved to be safe and feasible with equivalent long-term oncological outcome compared to open surgery, safety and long-term oncological outcome of laparoscopic surgery for rectal cancer remain controversial. Laparoscopic rectal cancer surgery might be efficacious, but indications and limitations are not clearly defined. Therefore, the European Association for Endoscopic Surgery (EAES) has developed this clinical practice guideline. Methods An international expert panel was invited to appraise the current literature and to develop evidence-based recommendations. The expert panel constituted for a consensus development conference in May 2010. Thereafter, the recommendations were presented at the annual congress of the EAES in Geneva in June 2010 in a plenary session. A second consensus process (Delphi process) of the recommendations with the explanatory text was necessary due to the changes after the consensus conference. Results Laparoscopic surgery for extraperitoneal (midand low-) rectal cancer is feasible and widely accepted. The laparoscopic approach must offer the same quality of surgical specimen as in open surgery. Short-term outcomes such as bowel function, surgical-site infections, pain and hospital stay are slightly improved with the laparoscopic approach. Laparoscopic resection of rectal cancer is not

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“…EDA was associated with controversial results regarding postoperative morbidity (19,20) and slowed down recovery after laparoscopic surgery without evident benefits in recent randomized trials (21,22). Instead, numerous alternatives for peri-and postoperative pain management have been suggested for minimal invasive surgery, and the combination of different strategies in a multimodal concept has been advocated (7,23). However, despite this diversity, pain remains undermanaged even within enhanced recovery protocols (24), and a recent meta-analysis did not show any superiority of pain management within ERAS care regarding pain scores, length of stay and functional recovery (25).…”

Section: Discussionmentioning

confidence: 99%

“…ERAS care protocols including multimodal pain management strategies aim to facilitate recovery by an opioidsparing attitude to avoid opioid-related side effects (5). Epidurals have been shown to be efficient after open surgery (6), and modern pain management strategies including intravenous lidocaine, wound infiltration or transverse abdominis plane (TAP) block emerge as alternatives for minimally invasive surgery (7). Most studies comparing open and laparoscopic surgery stated less pain after minimally invasive surgery (8,9), but only scarce data reporting on pain scores and actual analgesics consumption is available.…”

Section: Introductionmentioning

confidence: 99%

Pain perception after colorectal surgery: A propensity score matched prospective cohort study

Grass¹,

Cachemaille²,

Martín³

et al. 2018

BST

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A systematic review of postoperative analgesia following laparoscopic colorectal surgery

Cited by 101 publications

References 40 publications

Intravenous Lidocaine for Effective Pain Relief After a Laparoscopic Colectomy: A Prospective, Randomized, Double-Blind, Placebo-Controlled Study

Intravenous Lidocaine for Effective Pain Relief After a Laparoscopic Colectomy: A Prospective, Randomized, Double-Blind, Placebo-Controlled Study

Laparoscopic extraperitoneal rectal cancer surgery: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)

Pain perception after colorectal surgery: A propensity score matched prospective cohort study

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