Unique ID issued by UMIN | UMIN000025821 |
---|---|
Receipt number | R000029694 |
Scientific Title | Postoperative analgesia after laparoscopic colectomy |
Date of disclosure of the study information | 2017/01/24 |
Last modified on | 2017/01/24 13:41:05 |
Postoperative analgesia after laparoscopic colectomy
Postoperative analgesia after laparoscopic colectomy
Postoperative analgesia after laparoscopic colectomy
Postoperative analgesia after laparoscopic colectomy
Japan |
Colon cancer
Gastrointestinal surgery |
Malignancy
NO
To elucidate the effective analgesic therapy after laparoscopic colectomy
Efficacy
Postoperative pain score and the need for rescue analgesic drugs
Observational
Not applicable |
Not applicable |
Male and Female
All consecutive patients who underwent elective LCR for primary colon cancers between June 2008 and August 2015 at Hokkaido University Hospital.
Patients with colon cancers in pathologic stage IV, those with reduced port surgery, and those who required conversion to open surgery or underwent multiple organ resection.
196
1st name | |
Middle name | |
Last name | Akinobu Taketomi |
Hokkaido University Graduate School of Medicine
Gastroenterological Surgery I
Kita-15, Nishi-7, Kita-ku, Sapporo, Hokkaido
011-706-5927
taketomi@med.hokudai.ac.jp
1st name | |
Middle name | |
Last name | Shigenori Homma |
Hokkaido University Hospital
Gastroenterological Surgery I
Kita-14, Nishi-5, Kita-ku, Sapporo, Hokkaido
011-706-5927
homma.s@nifty.com
Hokkaido University
No
Other
NO
北海道大学病院(北海道)
2017 | Year | 01 | Month | 24 | Day |
Published
Completed
2016 | Year | 01 | Month | 18 | Day |
2016 | Year | 01 | Month | 18 | Day |
Patients: all consecutive patients who underwent elective laparoscopic colon resection for primary colon cancers between June 2008 and August 2015 at Hokkaido University. Excluded from this retrospective analysis were patients with colon cancers in pathologic stage IV, those with reduced port surgery, and those who required conversion to open surgery or underwent multiple organ resection.
Study design: a reterospective comparative study
Methods: The patients in group E received epidural analgesia before the induction of general anesthesia. Soon after surgery, the patients were given 0.2 % ropivacaine continuously at a rate of 4 mL/h via an epidural catheter. The catheter was removed after 72 h.
The operations in the group FC patients were performed under general anesthesia alone, without epidural anesthesia. Soon after surgery, intravenous fentanyl citrate (20 ug/h)(Fentanyl Injection; Janssen Pharmaceutical K.K., Tokyo, Japan) was started and continued for 24 h. Subsequently,on the morning of postoperative day 1, the patients were also given 200 mg celecoxib (Celecox; Astellas Pharma, Tokyo, Japan) twice a day orally, for 7 days.
To evaluate the degree of postoperative pain, we used the Wong-Baker FACES Pain Scale. The rescue analgesic requirements were evaluated according to the number of times these rescue analgesic drugs were used
during the first 7 days after surgery.
2017 | Year | 01 | Month | 24 | Day |
2017 | Year | 01 | Month | 24 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000029694