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Surgical Endoscopy
Published in: Surgical Endoscopy 10/2005

01-10-2005 | Original article

A procedure-specific systematic review and consensus recommendations for postoperative analgesia following laparoscopic cholecystectomy

Authors: H. Kehlet, A. W. Gray, F. Bonnet, F. Camu, H. B. J. Fischer, R. F. McCloy, E. A. M. Neugebauer, M. M. Puig, N. Rawal, C. J. P. Simanski

Published in: Surgical Endoscopy | Issue 10/2005

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Abstract

Background:

Laparoscopic cholecystectomy has advantages over the open procedure for postoperative pain. However, a systematic review of postoperative pain management in this procedure has not been conducted.

Methods:

A systematic review was conducted according to the guidelines of the Cochrane Collaboration. Randomized studies examining the effect of medical or surgical interventions on linear pain scores in patients undergoing laparoscopic cholecystectomy were included. Qualitative and quantitative analyses were performed. Recommendations for patient care were derived from review of these data, evidence from other relevant procedures, and clinical practice observations collated by the Delphi method among the authors.

Results:

Sixty-nine randomized trials were included and 77 reports were excluded. Recommendations are provided for preoperative analgesia, anesthetic and operative techniques, and intraoperative and postoperative analgesia.

Conclusions:

A step-up approach to the management of postoperative pain following laparoscopic cholecystectomy is recommended. This approach has been designed to provide adequate analgesia while minimizing exposure to adverse events.
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Metadata
Title
A procedure-specific systematic review and consensus recommendations for postoperative analgesia following laparoscopic cholecystectomy
Authors
H. Kehlet
A. W. Gray
F. Bonnet
F. Camu
H. B. J. Fischer
R. F. McCloy
E. A. M. Neugebauer
M. M. Puig
N. Rawal
C. J. P. Simanski
Publication date
01-10-2005
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 10/2005
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-004-2173-8

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