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Comparison of analgesic method after open pancreaticoduodenectomy

Not Applicable
Active, not recruiting
Conditions
Neoplasms
Registration Number
KCT0005097
Lead Sponsor
Seoul National University Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Active, not recruiting
Sex
All
Target Recruitment
146
Inclusion Criteria

Patients 18 years of age or older who are scheduled for regular pancreaticoduodenectomy for pancreas or periampullary tumors
- open surgery with midline incision
- ECOG 0~1
- Patients must be able to understand the procedures of the clinical trial and to properlly fill out questionnaires
- American society of anesthesiologists physical status classification 1-2

Exclusion Criteria

- ECOG >2, ASA >3
- In case of other severe pain not related to the main disease, which cause confusion in pain evaluation
- Patients with chronic pain with any pain medication, antidepressants, anticonvulsants
- Alcoholics
- Resection of other organs (liver or colon) during surgery
- previous abdominal surgery except laparoscopic appendectomy, laparoscpic cholecystectomy, laparoscopic gynecology surgery, and Cesarean section
- hypersensitive to fentanyl or ropivacaine
- Patients with coagulation disorder or who cannat discontinue anticoagulant
- Patients who cannot control the Patient controlled device (cognitive disorder, delirium)
- Any skin problem or infection on abdominal wall
- Other major medical or mental problems that may affect the postoperative treatment
- Patients who need ICU care or ventilation
- Pregnants or women in lactation
- Patients whom the person in charge of the study thinks not appropriate for this study

Study & Design

Study Type
Interventional Study
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Mean NRS pain score
Secondary Outcome Measures
NameTimeMethod
RS pain score in resting on 1,2 and 3 postoperative day (16 o'clock) after surgery;Quality of Recovery (QoR)-15 survey score on 1, 2, and 3 postoperative day;Rescue analgesics injection times and amount on 1,2, and 3 postoperative day;Time to resumption of oral diet after surgery (hr);Time to move after surgery (hr);Time to first gas out after surgery (hr);Postoperative complication (revised Clavien-Dindo classification);Hospital stay (day)
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