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Bladeless trocar versus traditional trocar for patients undergoing laparoscopic cholecystectomy

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Summary

Background

Laparoscopic cholecystectomy (LC) has become a standard treatment for gallbladder lesions. However, it is not pain-free. This study compared pain intensity between using traditional and bladeless trocar for LC.

Method

Ninety-one consecutive patients undergoing LC were categorized into two groups, including bladeless (BL) and traditional group. A visual analog scale (VAS) was used to assess postoperative pain (in the recovery unit, 6, 24 h after surgery, and before discharge) and the amount of analgesics use was also recorded.

Results

BL group patients had a lower VAS than those of the control group patients after LC. Especially, BL group patients had an immediate significant lower VAS than that in the control group patients, explaining significant less meperidine requirement in BL group.

Conclusions

Bladeless trocar may work in the early postoperative stage, demonstrated by less pain score. This short-term benefit explained less meperidine use in early hours after LC.

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Conflict of interest

All of our authors do not have any commercial associations or sources of support that might pose a conflict of interest in connection with the submitted article.

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Authors and Affiliations

  1. Department of General Surgery, Chang Gung Memorial Hospital Chang Gung University, 5, Fu-Hsing Street, Kwei Shan Township, Taoyuan, Taiwan

    S.-Y. Huang MD, S.-Y. Wang MD, C.-N. Yeh MD, C.-T. Cheng MD, C.-Y. Tsai MD, Y.-Y. Liu MD, C.-C. Lin MD, PhD, Y.-Y. Jan MD, FACS & M.-F. Chen MD, FACS

  2. Department of Anesthesiology, Chang Gung Memorial Hospital Chang Gung University, 5, Fu-Hsing Street, Kwei Shan Township, Taoyuan, Taiwan

    C.-C. Lin MD, PhD

  3. Department of General Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan

    S.-Y. Huang MD

Authors
  1. S.-Y. Huang MD
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  2. S.-Y. Wang MD
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  3. C.-N. Yeh MD
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  4. C.-T. Cheng MD
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  5. C.-Y. Tsai MD
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  6. Y.-Y. Liu MD
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  7. C.-C. Lin MD, PhD
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  8. Y.-Y. Jan MD, FACS
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  9. M.-F. Chen MD, FACS
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Additional information

Shu-Yi Huang and Shang-Yu Wang contributed equally to the manuscript.

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Huang, SY., Wang, SY., Yeh, CN. et al. Bladeless trocar versus traditional trocar for patients undergoing laparoscopic cholecystectomy. Eur Surg 44, 408–412 (2012). https://doi.org/10.1007/s10353-012-0181-9

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  • DOI: https://doi.org/10.1007/s10353-012-0181-9

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