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July 30, 2025BMC AnesthesiologyOpen Access

Lateral quadratus lumborum block versus transversus abdominis plane block for perioperative analgesia in patients undergoing laparoscopic colorectal cancer surgery: a randomized, controlled clinical trial

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Why the study?

Lateral quadratus lumborum block and transversus abdominis plane block are widely used in abdominal surgeries, but a comparison of their intraoperative analgesia, hemodynamics, and postoperative complications in laparoscopic colorectal cancer surgery was needed.

Does bilateral ultrasound-guided lateral quadratus lumborum block reduce intraoperative remifentanil administration compared to transversus abdominis plane block or no block in patients undergoing laparoscopic colorectal cancer surgery?

Population

189 patients scheduled for laparoscopic colorectal cancer surgery

Comparison

Bilateral lateral QLB vs bilateral TAP block vs no blocks

Design

Randomized controlled clinical trial

Authors

HBHe BaiSZShuting ZhongXYXiaomei Yang

Discussion

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Overview

QL block may be preferred over TAP to minimize intraoperative opioids in colorectal laparoscopy; extends comparative evidence for truncal blocks.

Structured PICO

Does bilateral ultrasound-guided lateral quadratus lumborum block reduce intraoperative remifentanil administration compared to transversus abdominis plane block or no block in patients undergoing laparoscopic colorectal cancer surgery?

P
Population
184 patients undergoing laparoscopic colorectal cancer surgery
I
Intervention
Bilateral ultrasound-guided lateral quadratus lumborum block (QLB)
C
Comparator
Bilateral ultrasound-guided transversus abdominis plane (TAP) block or no blocks (general anesthesia only)
O
Outcome
Cumulative remifentanil administration during laparoscopic colorectal cancer surgeriessurrogate

In patients undergoing laparoscopic colorectal cancer surgery, lateral quadratus lumborum block reduces intraoperative remifentanil usage more effectively than transversus abdominis plane block, though both improve hemodynamic stability and perioperative analgesia compared to general anesthesia alone.

Cite This Study

Bai et al. (2025) studied this question.

synapsesocial.com/papers/6a7d4624469c795fc42797fehttps://doi.org/10.1186/s12871-025-03230-8
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Comparison of three concentrations of ropivacaine in posterior quadratus lumborum block: A randomized clinical trial2024 · 3 citations
  2. 2Pain Management in Enhanced Recovery after Surgery (ERAS) Protocols2019 · 257 citations
  3. 3Quadratus Lumborum Block Versus Transversus Abdominis Plane Block for Postoperative Pain After Cesarean Delivery2016 · 395 citations
  4. 4A Review of the Quadratus Lumborum Block and ERAS2018 · 210 citations
  5. 5Anterior Quadratus Lumborum Block at Lateral Supra-Arcuate Ligament vs Lateral Quadratus Lumborum Block for Postoperative Analgesia after Laparoscopic Colorectal Surgery: A Randomized Controlled Trial2023 · 10 citations