Patients who received either laparoscopic gastrectomy or laparoscopic colectomy.
Conditions
Interventions
Epidural anesthesia group Before inducing anesthesia, perform catheter placement at the 9th to 11th thoracic vertebrae levels. Administer 0.375% ropivacaine epidurally at the start of wound closur
Sponsors
University of Tsukuba
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients scheduled to undergo laparoscopic gastrectomy or laparoscopic colorectal resection of 6 cm or less where the wound is continuous with the umbilicus in addition to the port hole. Age: 20 years old and younger than 80 years old at the time of obtaining consent ASA-PS (American Society of Anesthesiologists physical status): 1-3 Patients who have received sufficient explanation for participation in this study, and who have fully understood and agreed to the document by their own will.
Exclusion criteria
Exclusion criteria: Antiplatelet / anticoagulant therapy There is a decrease in platelet count (80,000 <mcL), blood coagulation ability abnormality (aPTT> control value + 10 seconds or PT (%) <50%) History of spine surgery There is an allergy to the anesthetic used Weight less than 40 kg BMI> 30 kg / m2 Patients whose pain is difficult to evaluate (psycho-neuropathy, dementia, restlessness, etc.) Use regular painkillers Liver dysfunction (AST or ALT> 100 IU / L) Renal dysfunction (eGFR <50 mL / min / 1.73m2)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain scale (Numerical Rating Scale) when coughing 24 hours after surgery | — |
Countries
Japan
Contacts
Public ContactYohei Owada
University of Tsukuba Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery
Outcome results
None listed