This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

A randomized controlled trial of postoperative thoracic epidural analgesia versus intravenous patient-controlled analgesia after major hepatopancreatobiliary surgery. Ann Surg 2017; 266: 545-554.

Published: 15th December 2017

Authors: Aloia T, Kim BJ, Segraves-Chun Y-S, Cata JP, Truty MJ, Shi Q et al.

Conclusion

Severe postoperative pain was reduced by 35 per cent with the epidural in this study that included 140 patients. Return to theatre, duration of hospital stay and readmission rates were similar in both groups.

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