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Laparoscopic surgery is the main treatment method for patients with gastrointestinal malignant tumors. Although laparoscopic surgery is minimally invasive, its tool stimulation and pneumoperitoneum pressure often cause strong stress reactions in patients. On the other hand, gastrointestinal surgery...

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Published inWorld journal of gastroenterology : WJG Vol. 14; no. 10; pp. 1553 - 1558
Main Author Utsunomiya, Tohru
Format Journal Article
LanguageEnglish
Published Departmant of Surgery,Hiroshima Red Cross Hospital and Atomic Bomb Survivors Hospital,Hiroshima,Japan%Department of Pathology,Hiroshima Red Cross Hospital and Atomic Bomb Survivors Hospital,Hiroshima 730-8619,Japan%Department of Radiology,Hiroshima Red Cross Hospital and Atomic Bomb Survivors Hospital,Hiroshima 730-8619,Japan%Department of Internal Medicine of the Liver,Hiroshima Red Cross Hospital and Atomic Bomb Survivors Hospital,Hiroshima 730-8619,Japan 14.03.2008
The WJG Press and Baishideng
Subjects
Rapid Communication
Body mass index
Hepatocellular carcinoma
prognosis
Hepatectomy
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Summary:Laparoscopic surgery is the main treatment method for patients with gastrointestinal malignant tumors. Although laparoscopic surgery is minimally invasive, its tool stimulation and pneumoperitoneum pressure often cause strong stress reactions in patients. On the other hand, gastrointestinal surgery can cause stronger pain in patients, compared to other surgeries. Transversus abdominis plane block (TAPB) can effectively inhibit the transmission of nerve impulses caused by surgical stimulation, alleviate patient pain, and thus alleviate stress reactions. Remazolam is an acting, safe, and effective sedative, which has little effect on hemodynamics and is suitable for most patients. TAPB combined with remazolam can reduce the dosage of total anesthetic drugs, reduce adverse reactions, reduce stress reactions, and facilitate the rapid postoperative recovery of patients.
Bibliography:Telephone: +81-82-2413111
Fax: +81-82-2460676
Correspondence to: Dr. Tohru Utsunomiya, Department of Surgery, Hiroshima Red Cross Hospital and Atomic Bomb Survivors Hospital, Hiroshima 730-8619, Japan. tohru@hiroshima-med.jrc.or.jp
Author contributions: Utsunomiya T designed the research; Utsunomiya T, Okamoto M, Kameyama T, Matsuyama A, Yamamoto M, Fujiwara M, Mori M, Aimitsu S, and Ishida T performed the research; Utsunomiya T analyzed the data and wrote the paper.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.14.1553