Emerging Perspectives in TransplantationLiver transplantationComparison of Postoperative Analgesic Requirements in Living Donors and Patients Undergoing Similar Surgical Procedures
Section snippets
Materials and Methods
After approval of the institutional Ethics Committee and written informed consent from the participants, this study enrolled 30 kidney donors (Group D) and 30 patients (Group P) with renal cell carcinoma staged II or below. All participants underwent retroperitoneal laparoscopic nephrectomy with similar surgical procedures. Donors and patients with histories of substance abuse and mental illness, who have allergic reactions to study drugs, with liver or renal dysfunctions, and American Society
Results
Except for intraoperative fluid administration and urine output, which were extremely larger in Group D than in Group P, there were no significant differences between the 2 groups based on demographic data and surgical characteristics (Table 1). There was no need for blood transfusion or conversion to open surgery.
There were significant differences in VAS score at rest at 2 and 4 hours, and during coughing at 2, 4, and 8 hours between Group D and Group P after extubation. VAS scores at these
Discussion
Most laparoscopic nephrectomies are performed through a retroperitoneal approach in our country, not the transperitoneal approach reported in most other countries [2], [3], [4], so the type and intensity of pain are not similar. Part of the external oblique, internal oblique, and transverse muscles, which contribute to body supporting, are dissected in retroperitoneal laparoscopic nephrectomy, therefore, this may cause more pain from the incision than in transperitoneal laparoscopic
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Cited by (3)
Comparison of postoperative morphine requirements in renal donors and patients with renal carcinoma undergoing laparoscopic nephrectomy
2016, Transplantation ProceedingsCitation Excerpt :In this clinical trial, the 2 groups had comparable demographic and surgical details, but postoperative VAS scores and morphine consumption were significantly different. The result is consistent with the previous study [3]. Morphine is given intravenously to all participants to alleviate postoperative pain by PCA.
Influential Factors and Personalized Prediction Model of Acute Pain Trajectories after Surgery for Renal Cell Carcinoma
2022, Journal of Personalized MedicineComparison of acute and chronic pain after open nephrectomy versus laparoscopic nephrectomy a prospective clinical trial
2016, Medicine (United States)