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The Comparison Between Epidural and Intravenous Patient-controlled Analgesia for Laparoscopic Gastrectomy

The Comparison Between Epidural and Intravenous Patient-controlled Analgesia for Laparoscopic Gastrectomy

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02444897
Enrollment
60
Registered
2015-05-15
Start date
2013-09-30
Completion date
2014-12-31
Last updated
2015-05-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Gastric Cancer

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

DRUGEpidural PCA Ropivacaine

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

DRUGIV PCA Fentanyl+nefopam+Ramosetron

Total volume: 84ml, Fentanyl 1000mcg+nefopam 120mg+Ramosetron 0.3mg Basal infusion: 1ml/hr, Bolus: 0.5ml with a lockout time 15min.

Sponsors

Keimyung University Dongsan Medical Center
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
19 Years to 80 Years
Healthy volunteers
No

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

MeasureTime frameDescription
VAS score24 hours after operationpain degree was checked at every 24hours for 5days after operation

Secondary

MeasureTime frameDescription
number of participants with complicationfor 5days after operationPCA related complication
Bowel motilityfor 5days after operationby counting Colomark on abdomen x-ray

Countries

South Korea

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026