• Dong Sik Bae, Su-Jin Kim, Koo Do Hoon do H Department of Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea., Se-Hyun Paek, Hyungju Kwon, Young Jun Chai, June Young Choi, Kyu Eun Lee, and Yeo-Kyu Youn.
• Department of Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
• Head Neck. 2016 Apr 1; 38 Suppl 1: E588-93.

BackgroundWe evaluated the effects of ropivacaine for pain relief after robotic thyroid surgery.MethodsOne hundred eight patients scheduled for robotic thyroid surgery were randomized into ropivacaine (n = 54) or control (n = 54) groups. After surgery, 40 mL of 0.25% ropivacaine or 0.9% saline (control) was instilled into the skin flap. Postoperative pain intensity (visual analog scale [VAS]), analgesic requirements (fentanyl), and adverse events were assessed at 1, 2, 4, 8, 16, and 24 hours postoperatively.ResultsOne hundred three patients completed the study protocol. VAS scores were lower in the ropivacaine group than the control group (p = .010); however, VAS scores were not significantly different after 8 hours postoperatively. Total analgesic consumption was higher in controls than ropivacaine-treated patients (p = .01). Adverse events did not differ between the 2 groups.ConclusionRopivacaine instillation after robotic thyroid surgery reduces acute postoperative pain and analgesic requirements without adverse events. © 2015 Wiley Periodicals, Inc. Head Neck 38: E-E, 2016.© 2015 Wiley Periodicals, Inc.

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