Postoperative Analgesia With an Erector Spinae Plane Block in Robotic-assisted Partial Nephrectomy

NCT06928324 | Completed

• 1 other identifier: 2025/114
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

Partial nephrectomy is used as a standard method for the treatment of T1 kidney tumors, while radical nephrectomy is preferred for T2 tumors and localized masses that cannot be treated with partial nephrectomy. These surgical procedures can be performed using open surgery, laparoscopic, or robotic approaches. Open surgical methods, especially during partial or radical nephrectomy, generally require wide incisions extending below the costal arch. These incisions involve cutting through intercostal muscle structures, fascial layers, and subcutaneous tissues, which can lead to significant postoperative discomfort for the patient. This situation can directly affect the patient's comfort and recovery time. This study aims to investigate the effect of the erector spinae plane block, a method we routinely use for analgesic purposes in many procedures in anesthesia practice, on postoperative pain levels, analgesic consumption, patient satisfaction, and length of stay after robotic-assisted partial nephrectomy surgery. Method: Patients ranging in age between 18 and 70 were randomly assigned to either Group 1 (ESPB 30 ml bupivacaine 0.25%) or Group 2 (Control)

Conditions

Analgesia

Keywords

pain, prostatectomy; erector spinae block

Outcome Measures

Primary Outcomes (1)

• Reducing patient-controlled analgesic consumption

  The amount of analgesic consumption first 24 hours in the postoperative period

  From the patient's anesthesia induction in the operating room to the postoperative 24. hours

Secondary Outcomes (1)

• the satisfaction of the surgeon and the patient during the postoperative period

  From the patient's anesthesia ending to the postoperative 24. hours

Study Arms (2)

ESPB group

ACTIVE COMPARATOR

Receiving ESPB 30 ml bupivacaine 0.25%

Procedure: Erector Spinae Plane block

control group

ACTIVE COMPARATOR

Not receiving ESBP

Procedure: Control

Interventions

Erector Spinae Plane block PROCEDURE

The Erector Spinae Plane Block (ESPB) is a technically simple and safe form of regional anesthesia that can provide effective analgesia for 12 hours in patients with acute postoperative pain

Also known as: ESBP Block

ESPB group

Control PROCEDURE

No intervention

Also known as: Not ESBP Block

control group

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• American Society of Anesthesiologists (ASA) Class I or II
• Having regular preoperative visits
• Pregnant aged 18-70

You may not qualify if:

• Patients classified as ASA III or IV,
• Patients with cardiopulmonary difficulties,
• Patients who have previously been diagnosed with diabetes,
• Conditions requiring emergency surgery,
• Patients who refuse to participate in the study,
• Individuals with contraindications for general anesthesia,
• Patients who weighed less than 50 kg or more than 110 kg.

Sponsors & Collaborators

• TC Erciyes University: lead

Study Sites (1)

Kudret Doğru

Kayseri, 38050, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Agnosia; Pain

Condition Hierarchy (Ancestors)

Perceptual Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Kudret Doğru

  TC Erciyes University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Prof. Dr.

Study Record Dates

• First Submitted: March 24, 2025
• First Posted: April 15, 2025
• Study Start: May 15, 2025
• Primary Completion: August 15, 2025
• Study Completion: November 15, 2025
• Last Updated: December 19, 2025

Record last verified: 2025-12

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)