Page 54 - WJOLS
P. 54
RJ Dennis, P Mills
analgesia it has been difficult to demonstrate an improvement colectomy vs open colectomy for colon cancer: a randomized
in overall patient outcome with regard length of hospital stay. trial. The Journal of the American Medical Association 2002;
Attention has increasingly turned to improving quality of 287:321-28.
recovery and a return to normal level of functioning. A good 5. Werawatganon T, Charuluxanun S. Patient controlled intravenous
measure of quality of recovery is the patients’ level of pain opioid analgesia versus continuous epidural analgesia for pain
relief and it is now accepted that patient satisfaction has become after intra-abdominal surgery. Cochrane Database of Systematic
an indicator of quality of medical care. TEA appears to offer an Reviews 2005;CD004088.
optimum quality of care in recovery from laparoscopic colorectal 6. Senagore AJ, Delaney CP, Mekhail N, Dugan A, Fazio VW.
surgery. Randomized clinical trial comparing epidural anaesthesia and
patient-controlled analgesia after laparoscopic segmental
REFERENCES colectomy. British Journal Surgery 2003;90:1195-99.
7. Taqi A, Hong X, Mistraletti G, Stein B, Charlebois P, Carli F.
1. Leung KL, Lai PB, Ho RL, et al. Systemic cytokine response Thoracic epidural analgesia facilitates the restoration of bowel
after laparoscopic-assisted resection of rectosigmoid carcinoma: function and dietary intake in patients undergoing laparoscopic
a prospective randomized trial. Annals Surgery 2000;231: colon resection using a traditional, nonaccelerated, perioperative
506-11. care program. Surg Endosc 2007;2:247-52.
2. Milsom JW, Bohm B, Hammerhofer KA, Fazio V, Steiger 8. Liu SS, Carpenter RL, Neal JM. Epidural Anesthesia and
E, Elson P. A prospective, randomized trial comparing Analgesia. Their Role in Postoperative Outcome. Anesthesiology
laparoscopic versus conventional techniques in colorectal cancer 1995; 82:1474-1506.
surgery: a preliminary report. Journal of the American College 9. Liu SS, Carpenter RL, Mackey DC, et al. Effects of perioperative
of Surgeons 1998;187:46-55. analgesic technique on rate of recovery after colon surgery.
3. Schwenk W, Bohm B, Muller JM. Postoperative pain and fatigue anesthesiology 1995; 83: 757-65.
after laparoscopic or conventional colorectal resections: a 10. Harmon GD, Senagore AJ, Kilbride MJ, Warzynski MJ.
prospective randomized trial. Surgical Endoscopy 1998;12: Interleukin-6 response to laparoscopic and open colectomy.
1131-36. Diseases of the Colon and Rectum 1994;37:754-59.
4. Weeks JC, Nelson H, Gelber S, Sargent D, Schroeder G. Clinical 11. Senagore AJ, Whalley D, Delaney CP, et al. Epidural anaesthesia-
Outcomes of Surgical Therapy (COST) Study Group. Short- analgesia shortens length of stay after laparoscopic segmental
term quality-of-life outcomes following laparoscopic-assisted colectomy for benign pathology. Surgery 2001;129:672-76.
52