Enhanced Recovery After Surgery Programs for Laparoscopic Colorectal Resection May Not Need Thoracic Epidural Analgesia.
Anticancer Res
; 37(3): 1359-1364, 2017 03.
Article
in En
| MEDLINE
| ID: mdl-28314303
ABSTRACT
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 ANDMETHODS:
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.Key words
Search on Google
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Colorectal Neoplasms
/
Laparoscopy
/
Colorectal Surgery
Type of study:
Observational_studies
Limits:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Anticancer Res
Year:
2017
Document type:
Article
Affiliation country: