Laparoscopic Versus US-Guided Subcostal TAP Block After Laparoscopic Cholecystectomy

Mansoura University

Status: Unknown

Conditions: Cholecystitis; Gallstone

Treatments: Procedure: US TAP; Procedure: Laparoscopic TAP

Study type: Interventional

Funder types: Other

Identifiers

NCT04276285

Mansoura124

Details and patient eligibility

About

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.

Enrollment: 94 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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94 participants in 3 patient groups

Laparoscopic TAP

Active Comparator group

Description:

Subcostal TAP block will be performed after surgery under laparoscopic guidance

Treatment:

Procedure: Laparoscopic TAP

US TAP

Active Comparator group

Description:

Subcostal TAP block will be performed after surgery under ultrasound guidance

Treatment:

Procedure: US TAP

No TAP

No Intervention group

Description:

No TAP block will be performed