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01-11-2014

Evaluation of invasiveness in single-site laparoscopic colectomy, using “the PainVision™ system” for quantitative analysis of pain sensation

Authors: Masayuki Hiraki, Ichiro Takemasa, Mamoru Uemura, Naotsugu Haraguchi, Junichi Nishimura, Taishi Hata, Tsunekazu Mizushima, Hirofumi Yamamoto, Yuichiro Doki, Masaki Mori

Published in: Surgical Endoscopy | Issue 11/2014

Abstract

Background

Single-site laparoscopic colectomy (SLC) is increasingly performed for colon cancer. There are few reports on invasiveness in SLC. This study aimed to evaluate the postoperative pain from SLC, as compared to conventional multiport laparoscopic colectomy (MLC).

Methods

We compared postoperative pain among patients from the SLC group (n = 11) with those from the MLC group (n = 11) who underwent laparoscopic surgery for colon cancer at our institution between May and October 2013. Patients were specifically matched for gender, age, body mass index, tumor size, and performance status. Postoperative pain was evaluated at rest and during mobilization, using a visual analog scale (VAS) on postoperative days (PODs) 1–7, and by postoperative frequency of analgesics; pain intensity was evaluated at rest, using the Pain Vision™ system on PODs 1–7. Other operative outcomes of the two groups were also recorded.

Results

Patient demographics, operative outcomes, time duration before first flatus, and C-reactive protein and WBC count on POD 1 showed no significant differences between groups. Results of sequential VAS during mobilization until POD 7 were significantly less in the SLC group than in the MLC group (p = 0.009). However, sequential VAS at rest did not differ between the two groups (p = 0.11). Measured with the Pain Vision™ system, the difference in pain intensity at rest was statistically significant for the postoperative period (p = 0.003). Total requests for analgesics until POD 7 were reduced in the SLC group compared to that in the MLC group, but lacked statistical significance (three vs. seven, respectively, p = 0.07).

Conclusions

In both quantitative and objective measurements using the Pain Vision™ system, SLC significantly reduced postoperative pain. SLC is a promising procedure, associated with less invasiveness than MLC.

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Title: Evaluation of invasiveness in single-site laparoscopic colectomy, using “the PainVision™ system” for quantitative analysis of pain sensation
Authors: Masayuki Hiraki
Ichiro Takemasa
Mamoru Uemura
Naotsugu Haraguchi
Junichi Nishimura
Taishi Hata
Tsunekazu Mizushima
Hirofumi Yamamoto
Yuichiro Doki
Masaki Mori
Publication date: 01-11-2014
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 11/2014
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-014-3594-7

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Evaluation of invasiveness in single-site laparoscopic colectomy, using “the PainVision™ system” for quantitative analysis of pain sensation

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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