Cancer Management and Research (Sep 2021)
Effect of Ultrasound-Guided Quadratus Lumborum Block Preemptive Analgesia on Postoperative Recovery of Patients with Open Radical Colon Cancer Surgery: A Retrospective Study
Abstract
Ying Wang,1 Hongping Hu,2 Chang Feng,3 Dongyi Liu,3 Ning Ding4 1Department of Operation, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, People’s Republic of China; 2Department of Anesthesiology, The Third People’s Hospital of Liaocheng, Liaocheng, People’s Republic of China; 3Department of Anesthesiology, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, People’s Republic of China; 4Department of Outpatient, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, People’s Republic of ChinaCorrespondence: Ning DingDepartment of Outpatient, The Second Hospital, Cheeloo College of Medicine, Shandong University, 247 Bei Yuan Street, Jinan, 250033, People’s Republic of ChinaTel +8617660086456Email [email protected]: To evaluate the effect of ultrasound-guided quadratus lumborum block (QLB) preemptive analgesia on recovery in colon cancer patients undergoing open radical surgery and provide reference for its clinical application.Methods: From July 2019 to June 2020, according to the anesthesia method, 56 patients who received open radical colon surgery were divided into two groups: Group Q (n=27), which received QLB combined general anesthesia, and Group C (n=29), which received general anesthesia only. Both groups were given self-controlled intravenous analgesia pump after surgery. The primary outcome is a series of parameters representing postoperative recovery. The secondary outcome was VAS scores and opioid consumption.Results: The first time of getting up, flatus, taking semi-liquid diet and the postoperative hospital stay in Group Q were significantly reduced (P< 0.01). The rest and active VAS scores were significantly lower in Group Q (P< 0.01). The opioids consumption was significantly decreased in Group Q (P< 0.05).Conclusion: The application of ultrasound-guided QLB preemptive analgesia in open radical colon cancer surgery can significantly enhance the postoperative analgesia effect, reduce opioid consumption, and accelerate the postoperative recovery of the patients.Clinical Trial Registration Number: The Chinese Clinical Trial Registry (ChiCTR-2000034824).Keywords: colon cancer, open radical surgery, quadratus lumborum block, ultrasound guidance, preemptive analgesia, postoperative recovery
