Pain medicine

Opioid Consumption After Laparoscopic Radical Nephrectomy in Early Postoperative Recovery Phase: A Retrospective Cohort Study

Acta Anaesthesiol ScandPublished Retrospective cohort study

Authors' conclusion

Based on the results of this study, epidural analgesia was associated with increased opioid consumption after laparoscopic radical nephrectomy.

Study context

Population
Patients undergoing elective laparoscopic radical nephrectomy
Participants
226 patients
Exposure
Epidural analgesia vs no epidural analgesia
  • Epiduraln = 188
Outcome
Epidural, IV and oral opioid consumption and factors associated with increased opioid amounts
Follow-up
First 3 postoperative days
Methodological detailsmultivariate analysis
  • Multivariate analysis

Main finding

As reported in the abstract

Opioid consumption
  • Epidural analgesia associated with increased opioid consumption in all 3 postoperative days
  • Female gender a significant risk factor for increased opioid consumption (multivariate analysis)
  • Higher BMI negatively correlated with high opioid consumption

Observational data: associations, not effects.

Original publication

Opioid Consumption After Laparoscopic Radical Nephrectomy in Early Postoperative Recovery Phase: A Retrospective Cohort Study. Acta Anaesthesiol Scand. Published 7 December 2025. doi:10.1111/aas.70165

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