ArticleFrontiers in surgery2026
QUIPS-based prospective postoperative pain assessment following nephrectomy and partial nephrectomy in robot-assisted, conventional laparoscopic, and open surgical approaches.
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Postoperative pain is one of the most common medical issues following kidney surgery. It has significant impact on morbidity, recovery and patient satisfaction. To date, limited data are available on the relationships between surgical procedures, postoperative pain progression, and quality-of-life parameters. Methods: 116 patients were recorded prospectively after minimally invasive (robot-assisted and conventional laparoscopic) and open surgical kidney procedures. Data collection was standardized as part of the Quality Improvement in Postoperative Pain Management (QUIPS) project. Primary endpoints were postoperative pain intensities (numerical rating scale, NRS) during movement, maximum and minimum pain. Secondary endpoints included need of analgesics, side effects, patient satisfaction, and length of hospital stay. Results: Both groups demonstrated high postoperative pain intensities. However, patients undergoing minimally invasive procedures presented with lower pain scores compared to those who underwent open surgery (pain on exercise: median 6 [IQR 4-8] vs. 7 [IQR 5-8], Conclusion: Despite advances in pain management, postoperative pain following kidney surgery remains a significant medical issue. Our data suggest that pain management across different surgical modalities may not be homogeneous. Instead, different operative approaches may require procedure-adapted pain management with tailored analgesic escalation strategies to optimize postoperative recovery and patient satisfaction.
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