Pain Scores and Opioid Consumption after Robotic-assisted Abdominal Surgery: A Single Centre Historical Cohort Study
Authors' conclusion
Contrary to the initial hypothesis, patients undergoing intermediate-risk robotic-assisted procedures experienced higher-than-expected pain scores and moderate opioid consumption on the day of surgery
Study context
- Population
- Adults undergoing intermediate-risk robotic-assisted abdominal, urological, or gynecological surgery, 2013–202457% urological, 34% gynecological, 9% abdominal
- Participants
- 9,978 adults
- Outcome
- Co-primary: maximal NRS and total opioid consumption (MME)
- Follow-up
- End of the day of surgery (POD 0)
Methodological detailshistorical cohort, single-centre, consecutive patients
- Historical cohort
- Single-centre
- Consecutive patients
Main finding
As reported in the abstract
Maximal NRS and total MME on POD 0 · POD 0
Maximal NRS, median [Q1-Q3]
7
5–8
Total morphine milligram equivalents (MME), median [Q1-Q3]
10 mg
5–15
Observational data: associations, not effects.
Secondary outcomes
Maximal NRS and total MME on POD 1
- Maximal NRS, median [Q1-Q3]
- 6 [4-7]
- Total MME, median [Q1-Q3]
- 8 mg [0-12]
Safety
PONV in PACU
- PONV incidence
- 11%
Original publication
Pain Scores and Opioid Consumption after Robotic-assisted Abdominal Surgery: A Single Centre Historical Cohort Study. Anaesth Crit Care Pain Med. Published 25 November 2025. doi:10.
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