Unique ID issued by UMIN | UMIN000021003 |
---|---|
Receipt number | R000024242 |
Scientific Title | Prospective observational study of intraoperative positioning and post-operative shoulder pain in patients undergoing esophagectomy by prone position. |
Date of disclosure of the study information | 2016/02/20 |
Last modified on | 2017/08/19 00:42:53 |
Prospective observational study of intraoperative positioning and post-operative shoulder pain in patients undergoing esophagectomy by prone position.
Prospective observational study of intraoperative positioning and post-operative shoulder pain in patients undergoing esophagectomy by prone position.
Prospective observational study of intraoperative positioning and post-operative shoulder pain in patients undergoing esophagectomy by prone position.
Prospective observational study of intraoperative positioning and post-operative shoulder pain in patients undergoing esophagectomy by prone position.
Japan |
Esophageal cancer
Gastrointestinal surgery | Rehabilitation medicine |
Malignancy
NO
Recently, surgical techniques for esophagectomy has been improved significantly and getting less invasive continuously. In our institution, prone position for thoracoscopy assisted esophagectomy has been introduced, but substantial numbers of patients suffered from postoperative shoulder pain. One of the potential reasons of this shoulder pain would be intraoperative prone positioning. To reduce this pain, we introduced new intraoperative right arm positioning. In this prospective observational study, we studied the details of postoperative shoulder pain and range of motion in patients after esophagectomy with prone position to check our new right arm positioning.
Safety,Efficacy
Postoperative day 1, 3, 7 of the right shoulder joint around pain
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Prevention
Maneuver |
New intraoperative positions in prone position thoracoscopic esophageal cancer resection to perform the settings. For the new intraoperative positions, and leadership to the surgical unit nurse preconfigure the adequate intraoperative positions by physiotherapist. By setting a new intraoperative positions on top of that, physical therapist for confirmation as a final confirmation. Physiotherapist entering the operating room is the same person, We do check and modify new intraoperative positions. Start of surgery limb position is prone position with the retention of the right upper extremity fist significant because it becomes approach from the right chest. In order to obtain reproducibility in performing the position setting, sagittal plane using a goniometer, horizontal surface, measured from three directions of the frontal and sets.
20 | years-old | <= |
80 | years-old | > |
Male and Female
After having received a sufficient explanation, on a sufficient understanding, the document agreed by the free will of the patient himself was obtained patient.
Surgery cases of surgical procedure is thoracoscopy due to a prone position and laparoscopic or laparotomy.
20
1st name | |
Middle name | |
Last name | Hiroshi Morimatsu |
okayama university graduate school of medicine,dentistry and pharmaceutical siences
Anesthesiology & Critical Care Medicine
2-5-1 shikatacho kitaku okayama 700 8558 japan
+81-86-235-7778
morima-h@md.okayama-u.ac.jp
1st name | |
Middle name | |
Last name | Kenji Iwai |
Okayama University Hospital
Division Of Physical Medicine and Rehabilitation
2-5-1 shikatacho kitaku okayama 700 8558 japan
+81-86-235-7752
kenjiiwai7013@yahoo.co.jp
Okayama University Hospital
Okayama University Hospital Perioperative management center
Other
NO
2016 | Year | 02 | Month | 20 | Day |
Unpublished
Completed
2016 | Year | 02 | Month | 20 | Day |
2016 | Year | 05 | Month | 01 | Day |
2017 | Year | 03 | Month | 01 | Day |
2017 | Year | 05 | Month | 17 | Day |
2016 | Year | 02 | Month | 13 | Day |
2017 | Year | 08 | Month | 19 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000024242