Assessment of pain by face scales after gastrectomy: comparison of laparoscopically assisted gastrectomy and open gastrectomy

Kawamura, Hideki; Homma, Shigenori; Yokota, Ryoichi; Watarai, Hiroshi; Yokota, Kentaro; Kondo, Yukifumi

doi:10.1007/s00464-008-0090-y

Cited by 20 publications

(9 citation statements)

References 14 publications

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“…Pain is the most direct feeling for postoperative patients, and patients are often unwilling or afraid to move because of postoperative pain, which results in increased postoperative complications. Compared with the traditional open gastrectomy, the 5-hole method can obviously reduce the pain intensity, severe postoperative complications, and hospital stays, and improve patient's satisfaction [13] with the advantages of small wound, little bleeding, quick recovery, cosmetic, and so on. [14,15] However, the patient still experience moderate pain after surgery (the NRS score is between 4 and 7 points).…”

Section: Discussionmentioning

confidence: 99%

Clinical significance of wound infiltration with ropivacaine for elderly patients in china underwent total laparoscopic radical gastrectomy

Zhu

Chen

et al. 2019

Medicine

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The study aimed to evaluate analgesic effects and postoperative recovery of ropivacaine wound infiltration for elderly patients in China after total laparoscopic radical gastrectomy. We retrospectively received clinical data of 132 elderly patients who received total laparoscopic gastrectomy and tracheal intubation general anesthesia from cancer center of First Affiliated Hospital of Xiamen University between September 2014 and September 2017, patients were divided into 2 groups according to local injection of drug: group I (ropivacaine group, 0.5% ropivacaine, 40 mL in total, n = 69), group II (control group, no analgesic, n = 63). The demographics, postoperative pain using numeric ratings scale (NRS), rescue analgesics as well as incidence of complications were investigated. Significantly lower pain scores were observed in group I than in group II at 6, 12, 24, and 48 h postoperatively; the use of remedy analgesia was less in group I than in group II; there was no statistical significance in the incidence of surgical-related complications between the 2 groups. The recovery time were shorter in group I than in group II, meanwhile, postoperative hospital stay, medical expenses, and anesthesia-related complications were significantly less in group I than in group II. This is a review of ropivacaine infiltration use in the elderly patients underwent total laparoscopic radical gastrectomy. This analysis describes the postoperative analgesic effect and postoperative recovery of wound infiltration with ropivacaine. Multicentered large sample prospective randomized controlled study is needed to evaluate the feasibility, security, and economic practicality.

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Section: Discussionmentioning

confidence: 99%

Clinical significance of wound infiltration with ropivacaine for elderly patients in china underwent total laparoscopic radical gastrectomy

Zhu

Chen

et al. 2019

Medicine

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“…(3) We used epidural block, which was effective to decrease the difference of pain between laparoscopic and open surgeries [6]. An epidural block was used even in laparoscopic surgery because there are many studies to show its usefulness [7,8].…”

Section: Discussionmentioning

confidence: 99%

Anesthesia for Bariatric Surgery

Nishiyama¹,

Kohno²,

Koishi³

2011

OBES SURG

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For anesthesia of yellow race patients undergoing bariatric surgery, intravenous anesthetics and acetate Ringer's solution with 1% glucose could be administered per ideal body weight, the effects of muscle relaxants lasted shorter, pressure-controlled ventilation could keep oxygenation with adequate carbon dioxide, and ultrasound assist was useful in epidural catheterization in the bariatric patients.

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“…The main causes of postoperative respiratory dysfunction are abdominal pain, muscle spasms, and other reflexes that restrict the diaphragm and movement of the chest wall [1,2]. The characteristics of less pain and less damage to the abdominal wall associated with laparoscopic surgery might result in quicker recovery of respiratory function after surgery [2,9]. However, pneumoperitoneum may have an adverse effect on respiratory function [10][11][12].…”

Section: Discussionmentioning

confidence: 99%

Comparison of respiratory function recovery in the early phase after laparoscopy-assisted gastrectomy and open gastrectomy

et al. 2010

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Assessment of pain by face scales after gastrectomy: comparison of laparoscopically assisted gastrectomy and open gastrectomy

Abstract: The pain score for laparoscopic gastrectomy was low. There was no significant difference in pain between procedures while epidural anesthesia was in effect. Pain subsided earlier with laparoscopic than with open gastrectomy. The same characteristics were observed with both LADG and LATG.

Cited by 20 publications

References 14 publications

Clinical significance of wound infiltration with ropivacaine for elderly patients in china underwent total laparoscopic radical gastrectomy

Clinical significance of wound infiltration with ropivacaine for elderly patients in china underwent total laparoscopic radical gastrectomy

Anesthesia for Bariatric Surgery

Comparison of respiratory function recovery in the early phase after laparoscopy-assisted gastrectomy and open gastrectomy

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