Comparison of pain management after laparoscopic distal gastrectomy with and without epidural analgesia

Yoshitomo Yanagimoto, Shuji Takiguchi, Yasuhiro Miyazaki, Jota Mikami, Tomoki Makino, Tsuyoshi Takahashi, Yukinori Kurokawa, Makoto Yamasaki, Hiroshi Miyata, Kiyokazu Nakajima, Masaki Mori, Yuichiro Doki

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

Purpose: The optimal analgesia following laparoscopic distal gastrectomy (LDG) has not been determined; moreover, it has been unclear whether epidural anesthesia has benefits for laparoscopic surgery. In this study, we evaluated the effectiveness of epidural analgesia after LDG. Methods: This retrospective study included 84 patients who underwent LDG for gastric cancer. Patients received either combined thoracic epidural and general anesthesia (Epidural group, n = 34) or general anesthesia alone (No epidural group, n = 50). We recorded data on the patients, surgery, postoperative outcomes and anesthesia-related complications. Results: In the Epidural group, the first day of flatus was significantly earlier (2.21 vs. 2.44 days, p = 0.045) and the number of additional doses of analgesics was significantly lower (2.85 vs. 4.86 doses, p = 0.007) than in the No epidural group. Postoperative urinary retention occurred at a significantly higher rate in the Epidural group (n = 7; 20.6 %) than in the No epidural group (p < 0.001). Conclusion: Epidural anesthesia may reduce the need for additional analgesics after LDG, but increases the risk of urinary retention.

Original languageEnglish
Pages (from-to)229-234
Number of pages6
JournalSurgery today
Volume46
Issue number2
DOIs
Publication statusPublished - Feb 1 2016
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery

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