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This study was designed to assess the effectiveness of epidural patient-controlled analgesia compared to intravenous patient-controlled analgesia in patients undergoing laparoscopic gastrectomy. The investigators hypothesized that epidural PCA would be more effective in pain control than IV PCA even for laparoscopic gastrectomy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Epidural PCA group | Experimental | Epidural patient-controlled analgesia group |
|
| IV PCA group | Active Comparator | Intravenous patient-controlled analgesia |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Epidural PCA Ropivacaine | Drug | Epidural catheter insertion at T10 level before surgery, the tip of catheter location at T8-9 level. Total volume: 500ml, 16.7mcg/kg+0.75% Ropivacaine 80ml+N/S |
| Measure | Description | Time Frame |
|---|---|---|
| VAS score | pain degree was checked at every 24hours for 5days after operation | 24 hours after operation |
| Measure | Description | Time Frame |
|---|---|---|
| number of participants with complication | PCA related complication | for 5days after operation |
| Bowel motility | by counting Colomark on abdomen x-ray |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Seung Wan Ryu, M.D., Ph.D. | Director of gastrointestinal surgery devision, associate proffessor | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Keimyung University Dongsan Medical Center | Daegu | 700-712 | South Korea |
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| ID | Term |
|---|---|
| D013274 | Stomach Neoplasms |
| ID | Term |
|---|---|
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D016058 | Analgesia, Patient-Controlled |
| ID | Term |
|---|---|
| D000698 | Analgesia |
| D000760 | Anesthesia and Analgesia |
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|
| IV PCA Fentanyl+nefopam+Ramosetron | Drug | Total volume: 84ml, Fentanyl 1000mcg+nefopam 120mg+Ramosetron 0.3mg Basal infusion: 1ml/hr, Bolus: 0.5ml with a lockout time 15min. |
|
|
| for 5days after operation |
| D004066 |
| Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D013272 | Stomach Diseases |