Perioperative analgesic requirements in severely XXXX adolescents and young adults undergoing laparoscopic versus robotic-assisted gastric sleeve resection.

@entity1 @entity28 @entity6058 @entity158 @entity1286 @entity1443 @entity282
PURPOSE: One of the major advantages for @entity1 undergoing minimally invasive surgery as compared to an open surgical procedure is the improved recovery profile and decreased opioid requirements in the perioperative period. There are no definitive studies comparing the analgesic requirements in @entity1 undergoing two different types of minimally invasive procedure. This study retrospectively compares the perioperative analgesic requirements in severely @entity28 adolescents and young adults undergoing laparoscopic versus robotic-assisted, laparoscopic gastric sleeve resection. MATERIALS AND METHODS: With Institutional Review Board approval, the medication administration records of all severely @entity28 @entity1 who underwent gastric sleeve resection were retrospectively reviewed. Intra-operative analgesic and adjuvant medications administered, postoperative analgesic requirements, and visual analog @entity158 scores were compared between those undergoing a laparoscopic procedure versus a robotic-assisted procedure. RESULTS: This study cohort included a total of 28 @entity1 who underwent gastric sleeve resection surgery with 14 @entity1 in the laparoscopic group and 14 @entity1 in the robotic-assisted group. Intra-operative adjuvant administration of both intravenous @entity1443 and @entity6058 was similar in both groups. @entity1 in the robotic-assisted group required significantly less opioid during the intra-operative period as compared to @entity1 in the laparoscopic group (0.15    0.08 mg/kg vs. 0.19    0.06 mg/kg @entity1286 , P = 0.024). Cumulative opioid requirements for the first 72 postoperative h were similar in both the groups (0.64    0.25 vs. 0.68    0.27 mg/kg @entity1286 , P = NS). No difference was noted in the @entity282 scores. CONCLUSION: Although intraoperative opioid administration was lower in the robotic-assisted group, the postoperative opioid requirements, and the @entity282 scores were similar in both groups.
