Intraperitoneal local anaesthetic instillation versus no intraperitoneal local anaesthetic instillation for laparoscopic cholecystectomy

Gurusamy, Kurinchi Selvan; Nagendran, Myura; Guerrini, Gian Piero; Toon, Clare D; Zinnuroğlu, Murat; Davidson, Brian R

doi:10.1002/14651858.cd007337.pub3

Cited by 38 publications

(26 citation statements)

References 105 publications

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“…They frequently identify the lack of data on quality of life and time to return to normal activities within these studies and have recommended that these factors be introduced into future trial designs [11, 12]. …”

Section: Discussionmentioning

confidence: 99%

Patient‐Reported Outcomes for Acute Gallstone Pathology

Parkin

Stott²,

Brockbank³

et al. 2017

World j. surg.

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BackgroundA number of prominent surgical trials and clinical guidelines regard length of hospital stay and rates of daycase surgery as being of upmost importance following cholecystectomy. However, it is unclear whether these outcomes also matter to patients. This study aimed to identify the factors patients regard as most important when admitted with acute gallstone pathology.MethodsA 41-item survey was produced by combining outcomes assessed in recent clinical trials with results from a preliminary patient questionnaire. This was then given out prospectively to patients presenting with acute gallstone pathology, prior to their cholecystectomy. Patients were asked to read an information sheet about laparoscopic cholecystectomy and then complete the survey, scoring each item out of 100 in terms of importance to them.ResultsFifty-six patients completed the survey (43 females; median age 51 years). Diagnoses were: cholecystitis (28 patients), biliary colic (13), pancreatitis (10), common bile duct stones (3) and cholangitis (2). The top-scoring survey item was “long-term quality of life after surgery”, with a median value of 97 out of 100. Other high-scoring items included “cleanliness of the ward environment” and “pain control after surgery” (both 96). The lowest-scoring item was “being treated as a daycase” (54).ConclusionPatients with acute gallstone pathology view long-term quality of life after surgery as the most important factor and daycase surgery as the least important. These results should be considered when planning future surgical trials and clinical guidelines.Electronic supplementary materialThe online version of this article (doi:10.1007/s00268-016-3854-x) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Patient‐Reported Outcomes for Acute Gallstone Pathology

Parkin

Stott²,

Brockbank³

et al. 2017

World j. surg.

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“…Adequate pain control allows early mobilization, as well as contributes to satisfaction with the procedure. Preoperative wound infiltration with local anaesthetics and the administration of prophylactic analgesics in the recovery room are the main responsible factors to archieve this goal (2,30) ; some authors suggest intraperitoneal local anaesthetic instillation (6,(20)(21)(22)(23)(24)(25)43) . In our series, three patients returned to the hospital before the review appointment for poorly controlled pain, indicating a need for optimization of pain medication prescriptions at discharge.…”

Section: Discussionmentioning

confidence: 99%

AMBULATORY LAPAROSCOPIC CHOLECYSTECTOMY IS SAFE AND COST-EFFECTIVE: a Brazilian single center experience

Teixeira

Goldoni

Machry

et al. 2016

Arq. Gastroenterol.

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“…acute pain) in patients undergoing hernia repair [2,3]. Moreover, local anesthetic instillation has become the current emphasis on many studies evaluating acute pain [4,5].…”

Section: To the Editormentioning

confidence: 99%