Postoperative Pain Clinical Trial
Official title:
A Comparison of Postoperative Pain Results According to Pressure to Form Pneumoperitoneum During Robot-assisted Single-port Cholecystectomy; a Randomized Controlled Trial.
This study showed the difference in postoperative pain between the groups that performed
surgery with the low-pressure pneumoperitoneum and the group that performed surgery in the
standard-pressure pneumoperitoneum when robotic single-hole cholecystectomy was performed.
The primary purpose of the study was to compare the differences in the visual analog scale
(VAS) between the two groups and to demonstrate the effectiveness of pain relief after
surgery.
Secondly, the effect of the low-pressure pneumoperitoneum on the patient's postoperative
recovery and outcome was compared with the control group by comparing the length of stay,
operation time, and postoperative complications.
Laparoscopic cholecystectomy was the most common treatment method for gallbladder-related
diseases, and robotic cholecystectomy was also currently being performed. Many patients
complained pain around the wound, shoulder and back after surgery. Several methods had been
attempted to reduce postoperative pain, previous studies showed that oral medications such as
NSAIDS, administration of local anesthetics in wounds and abdominal cavity, low-pressure
penumoperitoneum, humidification of intraperitoneal washing fluid, And active residual gas
suction in the abdominal cavity had been found to relieve postoperative pain.
Robotic cholecystectomy, similar to laparoscopic cholecystectomy, also formed
pneumoperitoneum to secure the surgical space during operation. Based on the results
published in various studies, it had known that the most effective method of pain relief for
laparoscopic pain was to create low-pressure pneumoperitoneum.
In this study, investigators attempted to prove the effectiveness of low pressure
pneumoperioneum through a prospective randomized controlled trial between the experimental
group with the low-pressure pneumoperitoneum and the control group with the standard-pressure
pneumoperitoneum during robotic single-hole cholecystectomy.
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