Эффективность местной анестезии зоны токарных ран при коррекции послеоперационного болевого синдрома в колоректальной онкохирургии: обзор литературы.

ВВЕДЕНИЕ. Выраженный болевой синдром – серьезная проблема послеоперационного периода. Несмотря на высокую частоту выполнения лапароскопических хирургических вмешательств по поводу колоректального рака, до сих пор нет общепринятой тактики наиболее эффективного периоперационного обезболивания у таких пациентов. Мультимодальная анальгезия – современный метод обезболивания, воздействующий на множество звеньев патогенеза болевого синдрома. Предложенная в качестве золотого стандарта при открытых колоректальных операциях торакальная эпидуральная анестезия как компонент мультимодальной анальгезии не показывает таких же положительных результатов в условиях лапароскопического колоректального вмешательства.

ЦЕЛЬ. Сравнить различные методики местной анестезии и определить наиболее перспективный в плане эффективности и доступности в повседневной практике метод местного обезболивания как компонент мультимодальной анальгезии.

МЕТОДЫ И МАТЕРИАЛЫ. С целью поиска и оценки применимости различных методов местной анестезии был проведен обзор современной научной литературы.

ВЫВОДЫ. Инфильтрация раствора местного анестетика в зону трокарных ран – наиболее простой и доступный метод анестезии, сравнимый по эффективности с другими методами локорегионарного обезболивания, который может быть перспективным компонентом мультимодальной анальгезии в колоректальной онкохирургии.

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