Holst Andersen Lars Peter, Werner Mads U, Rosenberg Jacob, Gögenur Ismail
Afdeling D, Gastroenheden, Herlev Hospital, Herlev Ringvej 75, 2730 Herlev, Denmark.
Ugeskr Laeger. 2013 Mar 11;175(11):721-5.
The optimal pain management in relation to laparoscopic colonic surgery remains unclarified. This article presents studies concerning the analgesic effects of paracetamol, NSAIDs, opioids, spinal and epidural blockade, transversus abdominis plane-block, infiltration and intraperitoneal local analgesics, intravenous lidocaine, gabapentinoids and corticosteroids after laparoscopic colonic resection. Moreover, side effects of the analgesics are presented and individually discussed in relation to the specific procedure. We present recommendations for pain management in relation to laparoscopic colonic resection.
腹腔镜结肠手术的最佳疼痛管理仍不明确。本文介绍了有关对乙酰氨基酚、非甾体抗炎药、阿片类药物、脊髓和硬膜外阻滞、腹横肌平面阻滞、浸润和腹腔内局部镇痛药、静脉注射利多卡因、加巴喷丁类药物和皮质类固醇在腹腔镜结肠切除术后的镇痛效果的研究。此外,还介绍了这些镇痛药的副作用,并针对具体手术进行了单独讨论。我们提出了腹腔镜结肠切除术后疼痛管理的建议。