External Oblique Intercostal Plane Block vs. Transversus Abdominis Plane Block for Laparoscopic Cholecystectomy
Ultrasound Guided External Oblique Intercostal Plane Block vs. Transversus Abdominis Plane Block for Laparoscopic Cholecystectomy: Prospective Randomized Study
1 other identifier
interventional
80
1 country
1
Brief Summary
The laparoscopic approach has become the gold standard for many abdominal surgical procedures, including cholecystectomy. Compared to laparotomy, laparoscopy allows smaller incisions, reduces perioperative stress response, reduces postoperative pain, and results in shorter recovery time. However, anaesthesia concerns in patients undergoing laparoscopic surgery are different from patients undergoing open abdominal surgery. The aim of this study is to investigate the effect of the external oblique intercostal block, which is a new block, on postoperative pain score and opioid consumption.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Dec 2022
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 21, 2022
CompletedFirst Posted
Study publicly available on registry
December 1, 2022
CompletedStudy Start
First participant enrolled
December 1, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2024
CompletedApril 1, 2024
March 1, 2024
9 months
November 21, 2022
March 29, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Postoperative opioid consumption
First 24 hours total fentanyl consumption with patient controlled analgesia
first 24 hours
Secondary Outcomes (1)
Visual analog pain score
postextubation 0-24 hours
Study Arms (2)
External oblique intercostal plane block
ACTIVE COMPARATORUltrasound-guided External oblique intercostal plane block before surgery
Subcostal Transversus Abdominis Plan Block Group
ACTIVE COMPARATORUltrasound-guided Subcostal Transversus Abdominis Plan Block Group
Interventions
ultrasound guided external oblique intercostal plane block 20 ml local anesthetic each side
ultrasound guided Subcostal Transversus Abdominis Plan Block Group 20 ml local anesthetic each side
Eligibility Criteria
You may qualify if:
- American Society of Anesthesiologist's physiologic state I-III patients
- Laparoscopic cholecystectomy
You may not qualify if:
- Chronic pain bleeding disorders renal or hepatic insufficiency patients on chronic non-steroidal anti-inflammatory medications emergency cases
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Atatürk University
Erzurum, Turkey (Türkiye)
Related Publications (3)
Woldu SL, Weinberg AC, Bergman A, Shapiro EY, Korets R, Motamedinia P, Badani KK. Pain and analgesic use after robot-assisted radical prostatectomy. J Endourol. 2014 May;28(5):544-8. doi: 10.1089/end.2013.0783. Epub 2014 Jan 30.
PMID: 24400824BACKGROUNDLeitao MM Jr, Malhotra V, Briscoe G, Suidan R, Dholakiya P, Santos K, Jewell EL, Brown CL, Sonoda Y, Abu-Rustum NR, Barakat RR, Gardner GJ. Postoperative pain medication requirements in patients undergoing computer-assisted ("Robotic") and standard laparoscopic procedures for newly diagnosed endometrial cancer. Ann Surg Oncol. 2013 Oct;20(11):3561-7. doi: 10.1245/s10434-013-3064-9.
PMID: 23797751BACKGROUNDAl S, Ahiskalioglu A, Karapinar YE, Yayik AM, Aydin ME, Celik EC, Ahiskalioglu EO, Doymus O. External oblique intercostal plane block as an alternative to subcostal TAP block for laparoscopic cholecystectomy: a prospective randomized study. BMC Anesthesiol. 2025 Dec 5;26(1):26. doi: 10.1186/s12871-025-03548-3.
PMID: 41351140DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
November 21, 2022
First Posted
December 1, 2022
Study Start
December 1, 2022
Primary Completion
September 1, 2023
Study Completion
January 1, 2024
Last Updated
April 1, 2024
Record last verified: 2024-03