Necessity of routine perioperative epidural catheter placement in laparoscopic colorectal resections: a retrospective data analysis

Necessity of routine perioperative epidural catheter placement in laparoscopic colorectal resections: a retrospective data analysis

Purpose Whether epidural anesthesia leads to further improvement in the postoperative course of colorectal procedures is under discussion. The aim of this study was to evaluate the effects of minimally invasive colorectal oncological interventions without epidural anesthesia (EDA). Methods This retr...

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Bibliographic Details
Published in:Langenbeck's archives of surgery 2023-08, Vol.408 (1), p.335-335, Article 335
Main Authors: Koehler, A., Koch, F., El-Ahmar, M., Ristig, M., Lehmann, K., Ritz, J.-P.
Format: Article
Language:eng
Subjects:
Abdominal Surgery
Aged
Anesthesia, Epidural
Cardiac Surgery
Catheters
Colorectal Neoplasms - surgery
Data Analysis
Female
General Surgery
Humans
Laparoscopy
Male
Medicine
Medicine & Public Health
Postoperative Complications - epidemiology
Retrospective Studies
Thoracic Surgery
Traumatic Surgery
Vascular Surgery
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Summary:Purpose Whether epidural anesthesia leads to further improvement in the postoperative course of colorectal procedures is under discussion. The aim of this study was to evaluate the effects of minimally invasive colorectal oncological interventions without epidural anesthesia (EDA). Methods This retrospective data analysis included the clinical data of all patients who underwent minimally invasive oncological colorectal resection at our clinic between January 2013 and April 2019. Of 385 patients who met the inclusion criteria, 183 (group I; 47.5% of 385) received EDA, and 202 (group II; 52.5% of 385) received transversus abdominis plane block instead. The relevant target parameters were evaluated and compared between the groups. The postoperative complications were graded according to the Clavien–Dindo classification. Results The patients in group I ( n =183; women, 77; men, 106; age 66.8 years) were younger ( p =0.0035), received a urinary catheter more often (99.5% versus [vs.] 28.2% p
ISSN:1435-2451
1435-2451