kidney cancer
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: patients who scheduled for laparoscopic or robotic-assisted partial nephrectomy 1. patients who signed the informed consent for this study after an adequate explanation 2.patients aged 20 or over but under 75
Exclusion criteria
Exclusion criteria: 1. patients who refused to participate this study or who cannot seem to participate due to the postoperative conditions 2. patients who takes opioids for a long time 3. patients who have allergy to local anesthetics 4. patiens who have dermatosis at a puncture site or abdomen 5. patients who have following abnormalities in screening tests PT-INR > 1.25 APTT > 35 Platelet counts < 100000 /microlitter 6.patients who takes antithrombotic therapy, and do not have the adequate interruption period according to the Japanese guidelines, Perioperative Management of Antithromboic Therapy. 7. patients who have muscle weakness of lower extremities before surgeries 8. patients who cannot fully extend their knees due to the pain 9. patients who weigh under 40kg, or whose BMI is over 35 10. patients who we are not allowed to visit due to the prevention of coronavirus infection 11. other inappropriate patients judged by reserchers
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| manual muscle testing of quadriceps on the day before surgery, 24 and 96 hours after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| postoperative muscle strength of quadriceps(25% reduction from baseline in quadriceps is considered clinically relevant), numerical rating scale at 2,24 and 96 hours after surgery postoperative consumption of opioids and the time until the first demand of opioids Quolity of Recovery(QoR)-15 on the day before surgery and 24, 96 hours after surgery the number of uses of non-opioids a rate of incidence of postoperative nausea and vomitting | — |
Countries
Japan
Contacts
Nara Medical Univerysity Hospital Anesthesiology