Laparoscopic Versus US-Guided Subcostal TAP Block After Laparoscopic Cholecystectomy

Mansoura University94 enrolled

Overview

Zaghiyan et al hypothesized that Laparoscopic TAP was noninferior to US-TAP and performed a randomized clinical trial comparing Laparoscopic TAP, US-TAP, and no TAP in minimally invasive colorectal surgery. The authors reported that LTAP was superior to UTAP in achieving pain control and minimizing opioid use in the first 24 hours after colorectal surgery. This prospective randomized, controlled trial will be performed to assessed the efficacy of laparoscopic subcostal TAP block (LSTAP) compared to ultrasound-guided subcostal TAP (USTAP) block after laparoscopic cholecystectomy regarding postoperative pain scores in the first 24-hours after the intervention and analgesic requirements.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Cholecystitis; Gallstone

Interventions

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Consecutive adult patients of either gender who will undergo laparoscopic cholecystectomy will be recruited to the study. Exclusion Criteria: * Pregnant women * Patients who will undergo open cholecystectomy * Patients who will need conversion to conventional open cholecystectomy * Patients with ASA III classification or higher * Patients who will undergo laparoscopic cholecystectomy together with other abdominal interventions.

Outcomes

Primary Outcomes

Pain score

pain will be assessed with visual analogue scale from 0-10

Time frame: 24 hours after cholecystectomy

Secondary Outcomes

Analgesic requirement

the need for intravenous analgesia after surgery calculated as the cumulative dose of analgesic administered over 24 hours