Clinical effect of multimodal perioperative pain management protocol for minimally invasive colorectal cancer surgery: Propensity score matching study

Lee, Chul Seung; Park, Soo Ji; Hong, Sang Hyun; Shim, Jung Ho; Chae, Min Suk; Han, Sang-Ick; Bae, Jung Hoon; Lee, In Kyu; Lee, Dosang; Lee, Yoon Suk; Oh, Seong Taek

doi:10.1016/j.asjsur.2020.10.024

Cited by 15 publications

(13 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, the sample size of this study was too small to con rm the superiority of SP in terms of postoperative pain. Our center has been applying for a multimodal perioperative pain management program since August 2019 [21]. We believe that postoperative pain could be affected more by perioperative pain management than by the length or number of skin incisions.…”

Section: Discussionmentioning

confidence: 99%

A comparative study on the short-term clinical outcomes of Da Vinci SP versus Da Vinci Xi for rectal cancer surgery

Alshalawi

Lee

Kim

et al. 2023

Preprint

Self Cite

View full text Add to dashboard Cite

Purpose The Da Vinci SP robot system was recently introduced, but its safety and feasibility for rectal cancer compared to the currently used Da Vinci Xi robot system have not been reported. This study aimed to report the safety and feasibility of the Da Vinci SP robot system for rectal cancer by comparing the short-term outcomes of the Da Vinci Xi robot system.Methods This was a single-center, retrospective study. Data from rectal cancer patients who underwent abdominal total mesorectal excision (TME) using the robotic Xi and SP systems from October 2015 to October 2022 were analyzed. After propensity score matching, the short-term clinical perioperative outcomes were compared between the Da Vinci SP and Xi robotic system groups.Results A total of 56 patients who underwent robotic TME were analyzed after propensity score matching (SP, n = 28, vs. Xi, n = 28). Intersphincteric resection was more common in the SP group (7 cases (25%) vs. 0 case (0%), p = 0.001). The operation time was significantly shorter in SP (184 vs. 227.5 minutes, p < 0.0001), but the docking time was similar between the two groups. The postoperative complications were similar between the two groups (five cases in the SP group (17.9%) vs. four cases in Xi (14.3%), p = 0.68). There were no differences in the postoperative pain score and length of hospital stay.Conclusion The SP robotic system for abdominal TME has acceptable short-term outcomes compared with the Xi robotic system and is safe and technically feasible.

show abstract

Section: Discussionmentioning

confidence: 99%

A comparative study on the short-term clinical outcomes of Da Vinci SP versus Da Vinci Xi for rectal cancer surgery

Alshalawi

Lee

Kim

et al. 2023

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…These measures will enable us to effectively use our strengths, advantages, and capabilities. [22] When a patient's mood improves, the degree of autonomic nerve activity, heart rate, blood pressure, and the risk of disease deterioration caused by emotional reactions decreases. [23] Nosocomial infections are also a problem that must be faced by severely ill hospitalized patients for a long time, especially cancer patients undergoing surgical treatment, are feeble and have a high risk of infection.…”

Section: Discussionmentioning

confidence: 99%

The effect of a modified perioperative management model on the mental state, quality of life, and self-care ability score of patients after radical prostatectomy: A retrospective study

Zhang

Jianxia

et al. 2023

Medicine

View full text Add to dashboard Cite

To explore the effects of an improved perioperative management model on the mental state, quality of life, and self-care ability scores of patients after radical prostatectomy. Overall, 96 postoperative prostate cancer patients admitted to our hospital between November 2019 and May 2021 were retrospectively analyzed and classified into an observation group and a control group with 48 patients each, according to the management model they received. The patients in the control group received routine care and were discharged. The observation group implemented an improved perioperative management model than the control group. Differences in mental state, quality of life, and self-care ability scores between the 2 groups were compared. After nursing, the self-rating anxiety scale and self-rating depression scale scores of the 2 groups were significantly lower than those before nursing, and the observation group’s self-rating anxiety scale and self-rating depression scale scores were significantly lower than those of the control group (P < .05). Regarding emotion, cognition, and society, the observation group’s quality of life scores was significantly higher than those of the control group. In contrast, overall health was significantly lower than that of the control group (P < .05). After nursing, the observation group’s self-care skills, self-responsibility, health knowledge, and self-concept scores were significantly better than those of the control group (P < .05). The improved prostate cancer perioperative management model helps improve patients’ unhealthy mental state, quality of life, self-care ability, and provides guidelines for the clinical care of patients after prostate cancer surgery.

show abstract

“…6. Implement a multimodal approach, including specialist referral: consider referral of patients at high risk of substance abuse [53][54][55][56].…”

Section: Universal Precautions To Limit Non-medical Opioid Usementioning

confidence: 99%

Pain Management in Oncology Patients Amidst the Opioid Epidemic: How To Minimize Non-Medical Opioid Use

Chahin¹,

Matosz²,

Khalel³

et al. 2021

Cureus

View full text Add to dashboard Cite

The opioid epidemic continues to be a significant public health concern. On the surface, it appears difficult to understate the profound consequences and unnecessary loss of life at the hands of the opioid crisis throughout the 2010s. This reality should not dissuade rigorous attention toward those who have suffered unnecessarily due to an overreaching backlash toward the opioid crisis. Oncology patients have been significantly impacted on both ends of the opioid crisis. Like other populations, cancer patients were first affected during the initial surge of opioid availability, prescription, and use at the beginning of the crisis, where opioid abuse and overdose negatively impacted cancer patient populations at similar rates as the general population. Yet, cancer patients were perhaps even more heavily affected during secondary events after the initial crisis, as opioid restrictions and the stigmatization, undoubtedly beneficial in many spaces, of opioid use became prevalent across the American society. During this second period of the opioid crisis (loosely from 2013 to the present day after the Veterans Health Administration Opioid Safety Initiative started), restrictions on opioids have significantly decreased the use and access of opioids for cancer patients. Management of pain, in general, is a complex topic, and cancer pain is no exception. Cancer patients may experience pain related to the disease itself, its treatment, or other comorbidities. This review aims to clarify the impact of reducing opioid use on cancer patients over the past eight years. We summarize the challenges facing providers as they attempt to manage cancer-related pain. Additionally, we propose tools for best practices to reduce the unnecessary suffering of cancer patients and protect against the overuse and abuse of opioids.

show abstract

Clinical effect of multimodal perioperative pain management protocol for minimally invasive colorectal cancer surgery: Propensity score matching study

Cited by 15 publications

References 21 publications

A comparative study on the short-term clinical outcomes of Da Vinci SP versus Da Vinci Xi for rectal cancer surgery

A comparative study on the short-term clinical outcomes of Da Vinci SP versus Da Vinci Xi for rectal cancer surgery

The effect of a modified perioperative management model on the mental state, quality of life, and self-care ability score of patients after radical prostatectomy: A retrospective study

Pain Management in Oncology Patients Amidst the Opioid Epidemic: How To Minimize Non-Medical Opioid Use

Contact Info

Product

Resources

About