What question did this study set out to answer?

This trial aims to compare the efficacy of laparoscopic versus ultrasound-guided subcostal TAP and RS blocks for pain management after laparoscopic cholecystectomy.

February 14, 2026International Journal of Clinical PracticeOpen Access

Comparative Efficacy of Ultrasound‐Guided Versus Laparoscopically Administered Subcostal Transversus Abdominis Plane and Rectus Sheath Blocks in Laparoscopic Cholecystectomy: A Randomized Noninferiority Trial

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Authors

ASAlireza ShakeriShahid Beheshti University of Medical Sciences AMAlireza Mirkheshti BNBehzad Nematihonar

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Implication

A randomized trial compares analgesia in laparoscopic cholecystectomy using two block methods, suggesting laparoscopic is a viable alternative.

Key Points

This trial aims to compare the efficacy of laparoscopic versus ultrasound-guided subcostal TAP and RS blocks for pain management after laparoscopic cholecystectomy.
Conducted as a prospective, double-blinded randomized controlled trial
Involved 99 patients undergoing elective laparoscopic cholecystectomy
Participants received either ultrasound-guided or laparoscopic blocks with 0.2% ropivacaine
Primary outcome measured was postoperative opioid consumption
Secondary outcomes included pain scores, block time, and hemodynamic parameters
Morphine consumption did not significantly differ between groups (mean difference −0.996 mg, p = 0.25)
Pain scores were similar, with only one significant difference at 12 hours favoring the laparoscopic group (p = 0.0454)
Laparoscopic block time was significantly shorter (mean 5.90 vs. 10.15 min, p < 0.05)
No significant differences in intraoperative hemodynamic parameters between groups

Cite This Study

Shakeri et al. (2026) studied this question.

synapsesocial.com/papers/699010f22ccff479cfe573f3 https://doi.org/10.1155/ijcp/1849109

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Implication

A randomized trial compares analgesia in laparoscopic cholecystectomy using two block methods, suggesting laparoscopic is a viable alternative.

Comparative Efficacy of Ultrasound‐Guided Versus Laparoscopically Administered Subcostal Transversus Abdominis Plane and Rectus Sheath Blocks in Laparoscopic Cholecystectomy: A Randomized Noninferiority Trial

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Key Points

Cite This Study

Comparative Efficacy of Ultrasound‐Guided Versus Laparoscopically Administered Subcostal Transversus Abdominis Plane and Rectus Sheath Blocks in Laparoscopic Cholecystectomy: A Randomized Noninferiority Trial

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Cite This Study

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