Why the study?
Does patient-controlled intravenous analgesia provide non-inferior postoperative pain relief compared to epidural analgesia in patients undergoing laparoscopic gastrectomy?
Does patient-controlled intravenous analgesia provide non-inferior postoperative pain relief compared to epidural analgesia in patients undergoing laparoscopic gastrectomy?
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This study protocol outlines a randomized non-inferiority trial to determine if patient-controlled intravenous analgesia is an effective and less invasive alternative to epidural analgesia for pain management after laparoscopic gastrectomy.
Although epidural analgesia (EDA) is considered standard postoperative analgesia for open gastrectomy, it has been unclear whether EDA has benefits in laparoscopic gastrectomy (LG) because postoperative pain after a laparoscopic procedure is significantly reduced. We are conducting a two-arm, single-center, prospective randomized non-inferiority trial to evaluate the postoperative pain relief of patient-controlled intravenous analgesia (PCIA) compared to EDA. A total of 132 patients undergoing LG will be randomized to EDA and PCIA groups (n=64 each) for postoperative pain control. The primary endpoint is postoperative pain at 24 h after surgery. This study will clarify the optimal pain management after LG.
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Kikuchi et al. (2018) studied this question.
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