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Enhanced Recovery After Surgery Programs for Laparoscopic Colorectal Resection May Not Need Thoracic Epidural Analgesia.
Eto, Ken; Kondo, Ichiro; Kosuge, Makoto; Ohkuma, Masahisa; Haruki, Koichiro; Neki, Kai; Sugano, Hiroshi; Hashizume, Ryosuke; Yanaga, Katsuhiko.
Afiliação
  • Eto K; Department of Surgery, Jikei University, School of Medicine, Tokyo, Japan etoken@jikei.ac.jp.
  • Kondo I; Department of Anesthesiology, Jikei University, School of Medicine, Tokyo, Japan.
  • Kosuge M; Department of Surgery, Jikei University, School of Medicine, Tokyo, Japan.
  • Ohkuma M; Department of Surgery, Jikei University, School of Medicine, Tokyo, Japan.
  • Haruki K; Department of Surgery, Jikei University, School of Medicine, Tokyo, Japan.
  • Neki K; Department of Surgery, Jikei University, School of Medicine, Tokyo, Japan.
  • Sugano H; Department of Surgery, Jikei University, School of Medicine, Tokyo, Japan.
  • Hashizume R; Department of Surgery, Jikei University, School of Medicine, Tokyo, Japan.
  • Yanaga K; Department of Surgery, Jikei University, School of Medicine, Tokyo, Japan.
Anticancer Res ; 37(3): 1359-1364, 2017 03.
Article em En | MEDLINE | ID: mdl-28314303
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.
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Base de dados: MEDLINE Assunto principal: Neoplasias Colorretais / Laparoscopia / Cirurgia Colorretal Idioma: En Ano de publicação: 2017 Tipo de documento: Article
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Base de dados: MEDLINE Assunto principal: Neoplasias Colorretais / Laparoscopia / Cirurgia Colorretal Idioma: En Ano de publicação: 2017 Tipo de documento: Article