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Laparoscopy-assisted subtotal gastrectomy under thoracic epidural-general anesthesia leading to the effects on postoperative micturition

Authors
 Sung Jin Lee  ;  Woo Jin Hyung  ;  Bon Nyeo Koo  ;  Ji Yeon Lee  ;  Na Hyung Jun  ;  Sun Chung Kim  ;  Jung Won Kim  ;  Jia Liu  ;  Ki Jun Kim 
Citation
 Surgical Endoscopy , Vol.22(3) : 724-730, 2008 
Journal Title
 Surgical Endoscopy  
ISSN
 0930-2794 
Issue Date
2008
Abstract
BACKGROUND: Recently, the laparoscopic surgical technique has been widely applied to major surgery as it can minimize surgical incision, reduce blood loss, and shorten hospital stay. In this study, we evaluated the effectiveness of the laparoscopic surgery on postoperative micturitional function in comparison to open surgery. METHOD: Sixty patients undergoing subtotal gastrectomy were assigned to either laparoscopic (L group, n = 30) or open surgery (O group, n = 30) groups. The combined thoracic epidural-general anesthesia was performed on all patients, and epidural patient-controlled analgesia (PCA) using ropivacaine and sufentanil was maintained for two days following surgery. After surgery, visual analog pain score (VAS), levels of sensory and motor block, observer's assessment of alertness/sedation score (OAA/S), time to first flatus, ambulation and oral intake, and micturition function were assessed. RESULTS: The L group showed much earlier ambulation, flatus and oral intake than the O group. Although the scores of VAS and OAA/S were not significantly different between the two groups, the micturition problem scores of the L group were lower than that of the O group (P < 0.05). All patients of the L group had no difficulty in self-voiding, whereas four patients in the O group required urinary catheterization on the first postoperative day (POD1). CONCLUSIONS: Patients who underwent laparoscopic subtotal gastrectomy had a low incidence of micturitional problem and showed early recovery. Therefore, urinary catheterization on POD1 may not be a routine procedure for those who undergo laparoscopic subtotal gastrectomy under combined thoracic epidural-general anesthesia.
Full Text
http://link.springer.com/article/10.1007%2Fs00464-007-9475-6
DOI
10.1007/s00464-007-9475-6
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Koo, Bon-Nyeo(구본녀) ORCID logo https://orcid.org/0000-0002-3189-1673
Kim, Ki Jun(김기준) ORCID logo https://orcid.org/0000-0003-1950-7998
Lee, Sung Jin(이성진)
Lee, Ji Yeon(이지연)
Hyung, Woo Jin(형우진) ORCID logo https://orcid.org/0000-0002-8593-9214
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/106355
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