Effects of needlescopic surgery on postoperative pain in intersphincteric or abdominoperineal resection.

Langenbeck's Archives of Surgery
Hironori FukuokaMasashi Ueno

Abstract

Laparoscopic surgery allows minimally invasive treatment of rectal cancer, and needlescopic surgery (NS) offers even more minimally invasive operations beyond the scope of conventional laparoscopic surgery (CS). The aim of this study was to compare short-term outcomes of NS for intersphincteric resection (ISR) or abdominoperineal resection (APR) to treat anal or rectal cancer without an abdominal incision for specimen extraction and to measure abdominal wound pain compared to CS. Between September 2014 and December 2016, a total of 134 patients underwent laparoscopic ISR or APR. Of these, 26 patients underwent NS, and 108 patients underwent CS. Postoperative abdominal wound pain was estimated using the numerical rating scale. Short-term outcomes were compared between NS and CS. No conversion to CS or open surgery was required. Median operation time was significantly shorter with NS (295 min) than with CS (331.5 min; p = 0.020). Median estimated blood loss was significantly lower with NS (30 ml) than with CS (50 ml; p = 0.011). Postoperative pain score on postoperative day (POD)5 was significantly lower with NS than with CS (p = 0.025), and frequencies of analgesic use were significantly lower with NS than with CS on POD0, POD2,...Continue Reading

References

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Jun 22, 2018·Langenbeck's Archives of Surgery·Sofoklis PanteleimonitisAmjad Parvaiz
Nov 6, 2018·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Y HiyoshiH Baba
Jul 10, 2019·Asian Journal of Endoscopic Surgery·Hironori FukuokaMasashi Ueno
May 25, 2018·Journal of the Anus, Rectum and Colon·Masashi TsurutaYuko Kitagawa

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