Analysis of feasibility and safety of laparoscopic complete mesocolic excision with central vascular ligation for right-sided colon cancer: A single centre experience

Erdoğan, Osman; Teke, Zafer; Ünal, Ayşe Gizem; Yalav, Orçun; Eray, İsmail Cem; Rencüzoğulları, Ahmet

doi:10.5455/annalsmedres.2019.11.783

Cited by 1 publication

(1 citation statement)

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“…Of these, 354 manuscripts were excluded because they did not meet inclusion criteria. Of the remaining 103 RCTs selected to undergo full text data extraction, another 31 studies were excluded at closer examination: six studies in a language other than English, [8][9][10][11][12][13] two studies with no access to full-text, 14,15 thirteen studies with no pain scores reported [16][17][18][19][20][21][22][23][24][25][26][27][28] and ten studies that combined different types of surgery without laparoscopic colorectal surgery subgroup analysis. [29][30][31][32][33][34][35][36][37][38] A total of 72 RCTs were included.…”

Section: Resultsmentioning

confidence: 99%

PROcedure-SPECific postoperative pain management guideline for laparoscopic colorectal surgery

Lirk,

Badaoui,

Stuempflen

et al. 2024

European Journal of Anaesthesiology

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Colorectal cancer is the second most common cancer diagnosed in women and third most common in men. Laparoscopic resection has become the standard surgical technique worldwide given its notable benefits, mainly the shorter length of stay and less postoperative pain. The aim of this systematic review was to evaluate the current literature on postoperative pain management following laparoscopic colorectal surgery and update previous procedure-specific pain management recommendations. The primary outcomes were postoperative pain scores and opioid requirements. We also considered study quality, clinical relevance of trial design, and a comprehensive risk–benefit assessment of the analgesic intervention. We performed a literature search to identify randomised controlled studies (RCTs) published before January 2022. Seventy-two studies were included in the present analysis. Through the established PROSPECT process, we recommend basic analgesia (paracetamol for rectal surgery, and paracetamol with either a nonsteroidal anti-inflammatory drug or cyclo-oxygenase-2-specific inhibitor for colonic surgery) and wound infiltration as first-line interventions. No consensus could be achieved either for the use of intrathecal morphine or intravenous lidocaine; no recommendation can be made for these interventions. However, intravenous lidocaine may be considered when basic analgesia cannot be provided.

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