Erector Spine Block Novel Technique for Laparoscopic Radical Prostatectomy Lessens the Risk for Acute or Chronic Kidney Injury

Introduction. Prostate cancer, the second most common cancer in males globally, frequently requires radical prostatectomy. Laparoscopic radical prostatectomy, a common approach, has uncertainties regarding pain reduction. This study investigates ultrasonography-guided erector spinae plane block for pain management in laparoscopic radical prostatectomy. Methods. This one-year prospective study involved 50 American Society of Anesthesiology classification I- III male patients (age 40-78) undergoing laparoscopic radical prostatectomy. An ultrasonography-guided erector spinae plane block was performed before surgery after induction of anesthesia. Postoperatively, pain was assessed using a numerical rating scale. Postoperative nausea and vomiting were evaluated using a verbal descriptive scale. Total time for block performance, anesthesia and surgery time, and any complications was noted as well. Results. The study demonstrated that erector spine block improved pain management in laparoscopic radical prostatectomy patients. At different times after surgery, numerical rating scale scores, rescue analgesia needs, postoperative nausea and vomiting scores were reduced with no adverse effects on the kidney function. Conclusion. This evaluation supports the beneficial role of ultrasonography-guided erector spine block in enhancing pain control during laparoscopic radical prostatectomy preventing any acute or chronic kidney injury.