Comparison of the Effects of Continuous Epidural Analgesia and Continuous Intravenous Analgesia on Postoperative Bowel Movement in Patients Undergoing Laparoscopic Gastrectomy
Overview
- Phase
- Phase 4
- Intervention
- Not specified
- Conditions
- Gastric Cancer
- Sponsor
- Yonsei University
- Enrollment
- 86
- Locations
- 1
- Primary Endpoint
- the time to first gas passing after surgery
- Status
- Completed
- Last Updated
- 9 years ago
Overview
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.
Investigators
Eligibility Criteria
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)
Outcomes
Primary Outcomes
the time to first gas passing after surgery
Time Frame: within 5days after surgery
Outcome will be assessed by a investigator blinded to the study group.
the time to resume water intake after surgery
Time Frame: within 5days after surgery
Outcome will be assessed by a investigator blinded to the study group.
soft diet intake after surgery
Time Frame: within 5days after surgery
Outcome will be assessed by a investigator blinded to the study group.
Secondary Outcomes
- postoperative pain(immediately after surgery to 48 hours)