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Surgery Today
Published in: Surgery Today 10/2016

01-10-2016 | Original Article

A comparison between fentanyl plus celecoxib therapy and epidural anesthesia for postoperative pain management following laparoscopic gastrectomy

Authors: Susumu Shibasaki, Hideki Kawamura, Shigenori Homma, Tadashi Yosida, Shusaku Takahashi, Masahiro Takahashi, Norihiko Takahashi, Akinobu Taketomi

Published in: Surgery Today | Issue 10/2016

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Abstract

Purpose

To clarify the efficacy of postoperative pain management following laparoscopic gastrectomy (LG), we retrospectively compared pain assessments in patients who received fentanyl plus celecoxib with those who received epidural anesthesia.

Methods

From 2011 to 2012, 55 consecutive LG patients at our institution received 48 h of epidural anesthesia for postoperative pain management (group-E). Since September 2013, epidural anesthesia was replaced with 24 h of intravenous fentanyl and 4 days of oral celecoxib. Thirty-three consecutive LG patients who received this analgesic method (group-FC) were included in this analysis. The severity of postoperative pain as assessed by the FACES Pain Rating Scale and the frequency of rescue pain medication were retrospectively compared between the two groups.

Results

No significant difference in the severity of postoperative pain on postoperative day (POD) 0 or 1 was observed between the two groups. In contrast, pain was significantly lower in group-FC than group-E on PODs 2, 3, 4, and 7. The total use of rescue pain medications during the first 7 days following LG did not differ between the two groups.

Conclusion

Pain management using 24 h of intravenous fentanyl and 4 days of oral celecoxib is comparable to epidural anesthesia following LG.
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Metadata
Title
A comparison between fentanyl plus celecoxib therapy and epidural anesthesia for postoperative pain management following laparoscopic gastrectomy
Authors
Susumu Shibasaki
Hideki Kawamura
Shigenori Homma
Tadashi Yosida
Shusaku Takahashi
Masahiro Takahashi
Norihiko Takahashi
Akinobu Taketomi
Publication date
01-10-2016
Publisher
Springer Japan
Published in
Surgery Today / Issue 10/2016
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-015-1290-4

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