Insights and progress on postoperative analgesia of radical gastrectomy for gastric cancer: a comprehensive review

Gastric cancer is a common and highly lethal malignancy of the digestive system, with surgical resection as the primary treatment approach. However, postoperative analgesia management remains a major clinical challenge. Postoperative pain not only affects recovery speed but may also lead to complica...

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Main Authors: Linghui Li, Yuanyuan Zhao, Huan Chen, Jianqin Zhao, Mengjun Dai, Qi Wang, Jie Lv, Wei Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Pain Research
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpain.2025.1601220/full
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author Linghui Li
Yuanyuan Zhao
Huan Chen
Jianqin Zhao
Mengjun Dai
Qi Wang
Jie Lv
Wei Wang
author_facet Linghui Li
Yuanyuan Zhao
Huan Chen
Jianqin Zhao
Mengjun Dai
Qi Wang
Jie Lv
Wei Wang
author_sort Linghui Li
collection DOAJ
description Gastric cancer is a common and highly lethal malignancy of the digestive system, with surgical resection as the primary treatment approach. However, postoperative analgesia management remains a major clinical challenge. Postoperative pain not only affects recovery speed but may also lead to complications, thereby influencing prognosis. Recent research on postoperative pain following gastric cancer surgery has expanded, exploring various analgesic methods, including pharmacological therapy, neuraxial blocks, and non-pharmacological approaches, with growing emphasis on individualized analgesia protocols. Despite the proposal of multiple analgesic techniques, current research indicates that their effectiveness and safety are still inadequately assessed in clinical applications. This review aims to discuss the physiological mechanisms of postoperative pain following gastric cancer surgery, modern analgesic strategies, and related research, to provide a theoretical basis and clinical guidance for improving postoperative quality of life.
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publishDate 2025-06-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Pain Research
spelling doaj-art-b68c7202ecb4478eaf49d603732261d12025-08-20T02:37:41ZengFrontiers Media S.A.Frontiers in Pain Research2673-561X2025-06-01610.3389/fpain.2025.16012201601220Insights and progress on postoperative analgesia of radical gastrectomy for gastric cancer: a comprehensive reviewLinghui Li0Yuanyuan Zhao1Huan Chen2Jianqin Zhao3Mengjun Dai4Qi Wang5Jie Lv6Wei Wang7Department of Surgery and Anesthesiology, The Affiliated Jiangning Hospital of Nanjing Medical University, Nangjing, ChinaDepartment of Anesthesiology, Huainan First People’s Hospital, The First Affiliated Hospital of Anhui University of Science and Technology, Huainan, ChinaDepartment of Surgery and Anesthesiology, The Affiliated Jiangning Hospital of Nanjing Medical University, Nangjing, ChinaDepartment of Surgery and Anesthesiology, The Affiliated Jiangning Hospital of Nanjing Medical University, Nangjing, ChinaDepartment of Surgery and Anesthesiology, The Affiliated Jiangning Hospital of Nanjing Medical University, Nangjing, ChinaDepartment of Surgery and Anesthesiology, The Affiliated Jiangning Hospital of Nanjing Medical University, Nangjing, ChinaDepartment of Surgery and Anesthesiology, The Affiliated Jiangning Hospital of Nanjing Medical University, Nangjing, ChinaDepartment of Surgery and Anesthesiology, The Affiliated Jiangning Hospital of Nanjing Medical University, Nangjing, ChinaGastric cancer is a common and highly lethal malignancy of the digestive system, with surgical resection as the primary treatment approach. However, postoperative analgesia management remains a major clinical challenge. Postoperative pain not only affects recovery speed but may also lead to complications, thereby influencing prognosis. Recent research on postoperative pain following gastric cancer surgery has expanded, exploring various analgesic methods, including pharmacological therapy, neuraxial blocks, and non-pharmacological approaches, with growing emphasis on individualized analgesia protocols. Despite the proposal of multiple analgesic techniques, current research indicates that their effectiveness and safety are still inadequately assessed in clinical applications. This review aims to discuss the physiological mechanisms of postoperative pain following gastric cancer surgery, modern analgesic strategies, and related research, to provide a theoretical basis and clinical guidance for improving postoperative quality of life.https://www.frontiersin.org/articles/10.3389/fpain.2025.1601220/fullstomach neoplasmsanalgesiapain managementpain mechanismsclinical studies as topic
spellingShingle Linghui Li
Yuanyuan Zhao
Huan Chen
Jianqin Zhao
Mengjun Dai
Qi Wang
Jie Lv
Wei Wang
Insights and progress on postoperative analgesia of radical gastrectomy for gastric cancer: a comprehensive review
Frontiers in Pain Research
stomach neoplasms
analgesia
pain management
pain mechanisms
clinical studies as topic
title Insights and progress on postoperative analgesia of radical gastrectomy for gastric cancer: a comprehensive review
title_full Insights and progress on postoperative analgesia of radical gastrectomy for gastric cancer: a comprehensive review
title_fullStr Insights and progress on postoperative analgesia of radical gastrectomy for gastric cancer: a comprehensive review
title_full_unstemmed Insights and progress on postoperative analgesia of radical gastrectomy for gastric cancer: a comprehensive review
title_short Insights and progress on postoperative analgesia of radical gastrectomy for gastric cancer: a comprehensive review
title_sort insights and progress on postoperative analgesia of radical gastrectomy for gastric cancer a comprehensive review
topic stomach neoplasms
analgesia
pain management
pain mechanisms
clinical studies as topic
url https://www.frontiersin.org/articles/10.3389/fpain.2025.1601220/full
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AT huanchen insightsandprogressonpostoperativeanalgesiaofradicalgastrectomyforgastriccanceracomprehensivereview
AT jianqinzhao insightsandprogressonpostoperativeanalgesiaofradicalgastrectomyforgastriccanceracomprehensivereview
AT mengjundai insightsandprogressonpostoperativeanalgesiaofradicalgastrectomyforgastriccanceracomprehensivereview
AT qiwang insightsandprogressonpostoperativeanalgesiaofradicalgastrectomyforgastriccanceracomprehensivereview
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