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Effect of intraoperative low-dose esketamine on postoperative quality of recovery in patients undergoing laparotomy for gynecologic malignancy: a randomized controlled trial

Zhi-Yu Geng, Yan Zhang, Hui Bi, Xin Yan, Linlin Song, Hui-Cheng Song

International Journal of Surgery September 23, 2025 DOI: 10.1097/js9.0000000000003501 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Population Patients undergoing gynecologic malignancy laparotomy
Intervention Esketamine
Dose low-dose
Topics Ketamine Esketamine
Keywords Laparotomy Randomized controlled trial Anesthesia Surgery Gynecologic oncology Gynecologic surgical procedures Analgesic Postoperative pain Patient-controlled analgesia
Citations 1
Post-publication review 1 comment on PubPeer (opens in new tab) · last active October 2025
Key findings Intraoperative low-dose esketamine failed to further improve the QoR-40 score after gynecologic malignancy laparotomy when used as part of a multimodal analgesic regimen.

Abstract

Intraoperative low-dose esketamine failed to further improve the QoR-40 score after gynecologic malignancy laparotomy when used as part of a multimodal analgesic regimen. Further research is needed to explore the optimal dosage and indications of esketamine in this patient population.

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