Gastric Cancer
Conditions
Keywords
Gastric cancer, epidural, PCA, laparoscopy
Brief summary
This study was designed to assess the effectiveness of epidural patient-controlled analgesia compared to intravenous patient-controlled analgesia in patients undergoing laparoscopic gastrectomy. The investigators hypothesized that epidural PCA would be more effective in pain control than IV PCA even for laparoscopic gastrectomy.
Interventions
Epidural catheter insertion at T10 level before surgery, the tip of catheter location at T8-9 level. Total volume: 500ml, 16.7mcg/kg+0.75% Ropivacaine 80ml+N/S
Total volume: 84ml, Fentanyl 1000mcg+nefopam 120mg+Ramosetron 0.3mg Basal infusion: 1ml/hr, Bolus: 0.5ml with a lockout time 15min.
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically confirmed adenocarcinoma in stomach * Males or Females, aged≥19 years and ≤80 years * Scheduled as laparoscopic gastrectomy * Patient has given their written informed consent to participate in the study
Exclusion criteria
* History of hypersensitivity for analgesics * Recent history of narcotic analgesics * Disability of central nerve system * Uncontrolled co-morbidity
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| VAS score | 24 hours after operation | pain degree was checked at every 24hours for 5days after operation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| number of participants with complication | for 5days after operation | PCA related complication |
| Bowel motility | for 5days after operation | by counting Colomark on abdomen x-ray |
Countries
South Korea