Enhanced Recovery After Surgery Programs for Laparoscopic Colorectal Resection May Not Need Thoracic Epidural Analgesia

被引：8

作者：

Eto, Ken

Kondo, Ichiro ^{[1
,2
]}

Kosuge, Makoto ^{[1
]}

Ohkuma, Masahisa ^{[1
]}

Haruki, Koichiro ^{[1
]}

Neki, Kai ^{[1
]}

Sugano, Hiroshi ^{[1
]}

Hashizume, Ryosuke ^{[1
]}

Yanaga, Katsuhiko ^{[1
]}

机构：

[1] Jikei Univ, Dept Surg, Sch Med, Tokyo, Japan

[2] Jikei Univ, Sch Med, Dept Anesthesiol, Tokyo, Japan

来源：

ANTICANCER RESEARCH | 2017年 / 37卷 / 03期

关键词：

Epidural analgesia; laparoscopic colorectal surgery; enhanced recovery after surgery; multimodal analgesia; PATIENT-CONTROLLED ANALGESIA; RANDOMIZED CLINICAL-TRIAL; ULTRASOUND GUIDANCE; COLONIC SURGERY; BOWEL FUNCTION; ANESTHESIA; CARE; LENGTH; ILEUS; STAY;

D O I：

10.21873/anticanres.11455

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Background/Aim: The aim of this study was to evaluate the necessity of thoracic epidural analgesia (TEA) as enhanced recovery after surgery (ERAS) programs for laparoscopic colorectal surgery (LC). Patients and Methods: We retrospectively compared between perioperative outcomes of patients who underwent LC with TEA (n=31) and with multimodal analgesia (MMA) (n=31). Furthermore, we also evaluated the patients ' satisfaction by a questionnaire survey to the nurses. Results: The only numeric rating scale (NRS) score on post- operative day (POD) 1 of the MMA group was significantly higher than that in the TEA group (p= 0.002). In multivariate analysis, the factors that demonstrated significant correlation with hospital stay did not include analgesia. The 74% of the nurses felt equal or higher analgesic effect in the MMA group and interestingly, 84% of them answered that they would choose MMA if they were to undergo LC. Conclusion: TEA may not be necessary for ERAS in LC.

引用

页码：1359 / 1364

页数：6

共 19 条

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