Gastric Cancer
Conditions
Brief summary
The investigators hypothesized that sympatholytic effect of epidural analgesia would attenuate the hemodynamic instability and decrease in the splanchnic blood flow caused by pneumoperitoneum during laparoscopic surgery. This study is to compare the effect of epidural analgesia and intravenous analgesia on postoperative bowel movement in patients undergoing laparoscopic gastrectomy.
Interventions
the continuous epidural analgesia group: epidural analgesia started from induction of anesthesia and continued for 48 h.
the continuous intravenous analgesia group: intravenous analgesia started from induction of anesthesia and continued for 48 h.
Sponsors
Study design
Eligibility
Inclusion criteria
* patient between 20 and 70 of age with ASA physical status Ⅰ-Ⅲ * gastric cancer patient undergoing laparoscopic gastrectomy
Exclusion criteria
* ASA physical status Ⅳ * bradycardia (\< 60 bpm), arrhythmia * uncompensated heart failure * hepatic failure (Child-Pugh score B) * renal failure (eGFR MDRD \< 60 ml/min/1.73m2)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the time to first gas passing after surgery | within 5days after surgery | Outcome will be assessed by a investigator blinded to the study group. |
| the time to resume water intake after surgery | within 5days after surgery | Outcome will be assessed by a investigator blinded to the study group. |
| soft diet intake after surgery | within 5days after surgery | Outcome will be assessed by a investigator blinded to the study group. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| postoperative pain | immediately after surgery to 48 hours | numerical rating scale 0 (no pain) to 10 (worst pain) |
Countries
South Korea