Ultrasound-guided bilateral subcostal transversus abdominis plane block in gastric cancer patients undergoing laparoscopic gastrectomy: a randomised-controlled double-blinded study

Yoon, Seung Zhoo; Song, Gyu Young; Lee, Jihye; Lee, Ho-Jin; Kong, Seong‐Ho; Park, Do Joong; Lee, Hyuk-Joon; Yang, Han–Kwang

doi:10.1007/s00464-021-08370-9

Cited by 9 publications

(8 citation statements)

References 30 publications

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“…T was significantly higher than in group S and N at 24 h and 48 h after surgery, suggesting that compared with nalbuphine PCIA and sufentanil PCIA alone, the mode of TAPB combined with nalbuphine PCIA can increase patient comfort. In addition, several researchers have found that the TAPB block can not only reduce opioid consumption and postoperative pain but also improve quality of recovery in patients undergoing abdominal surgery [40][41][42][43]. The aforementioned studies were consistent with the results of our study, which showed that TAPB combined with nalbuphine PCIA can provide better postoperative analgesia and quality of recovery for patients.…”

Section: Discussionsupporting

confidence: 91%

Application of Ultrasound-Guided Transversus Abdominis Plane Block Combined with Nalbuphine Patient-Controlled Intravenous Analgesia in Postoperative Analgesia After Laparotomy: A Randomized Controlled Trial

Han

Zhang²,

Bai

et al. 2022

Pain Ther

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Introduction: Pain is a common postoperative complication. The ideal postoperative analgesia is awake, safe, mobile, and without side effects. The objective of this study is to provide new ideas for postoperative analgesia by observing the safety and analgesic effect of different analgesic methods in patients undergoing laparotomy after surgery. Methods: Patients, who underwent laparotomy between September 2019 and December 2020, were randomly divided into three groups: group S received sufentanil, group N received nalbuphine, group T ? N received postoperative bilateral transversus abdominis plane block (TAPB) and nalbuphine. The primary outcomes included visual analog scale (VAS) score and the use of postoperative analgesic pump. Secondary outcomes included quality of life recovery (QoR-15) scale score and incidence of postoperative adverse reactions. Results: Compared with group S and N, there were significant differences in the resting VAS score within 48 h after surgery, dynamic VAS score within 12 h after surgery, the first compression time, and cumulative use of patientcontrolled intravenous analgesia (PCIA) drugs at 24 h in group T ? N (P \ 0.05). The QoR-15 score within 48 h after surgery in group T ? N was significantly higher than group N (P \ 0.05). The first exhaust time and the incidence of nausea and vomiting in group T ? N were significantly lower than those in group N (P \ 0.05). Conclusions: Sufentanil PCIA and nalbuphine PCIA have equivalent analgesic effects, while TAPB combined with nalbuphine PCIA can ensure a good analgesic effect, thereby reducing the incidence of adverse reactions.

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Section: Discussionsupporting

confidence: 91%

Application of Ultrasound-Guided Transversus Abdominis Plane Block Combined with Nalbuphine Patient-Controlled Intravenous Analgesia in Postoperative Analgesia After Laparotomy: A Randomized Controlled Trial

Han

Zhang²,

Bai

et al. 2022

Pain Ther

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“…In contrast, the study found that the dose, number of cases, incidence of nausea and vomiting, and remedial analgesia in QLB group and TAPB group were lower than those in TAPB group. ese results proved that QLB block can provide a better block than TAPB and can also effectively reduce the incidence of nausea and vomiting and other adverse reactions [20]. In order to get the results and shortcomings of this study, only our hospital accepts cases as the research object, and the sample size selection range is small.…”

Section: Related Workmentioning

confidence: 99%

[Retracted] Analysis of Interventional Application Effect of Ultrasound‐Guided QLB and TAPB in the Treatment and Analgesia of Patients Undergoing Laparoscopic Colorectal Surgery

Chen

Wang

2022

Contrast Media & Molecular Imaging

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Colorectal cancer is a common malignant tumor of the digestive system. In order to study the clinical efficacy of ultrasound-guided QLB and TAPB in the treatment and postoperative analgesia of patients undergoing laparoscopic colorectal surgery. A total of 96 patients undergoing laparoscopic colorectal surgery from January 2021 to January 2022 are selected as the study subjects. The results show that ultrasound-guided QLB and TAPB therapy have good analgesic effects in patients undergoing laparoscopic colorectal surgery, and QLB treatment and postoperative analgesic effect are better than TAPB.

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“…Previous studies[ 15 , 16 ] have found evidence that opioids can lead to intestinal peristalsis disorders and even constipation. TAPB reduces the need to use opioids during the perioperative period; alleviates the adverse symptoms caused by opioids, such as nausea, vomiting, and decreased intestinal motility; promotes intestinal peristalsis; and improves the levels of intestinal barrier indicators in patients[ 17 ]. In addition, this study showed that the agitation score, the incidence of agitation during recovery, and the total incidence of postoperative complications were significantly lower in the TAPB group than the epidural anesthesia group ( P < 0.05), further confirming the benefits of TAPB in improving the postoperative recovery quality of patients and reducing incidences of postoperative complications.…”

Section: Discussionmentioning

confidence: 99%

Analgesic effect of ultrasound-guided bilateral transversus abdominis plane block in laparoscopic gastric cancer

Wang,

2023

World J Gastrointest Surg

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Postcholecystectomy bile duct injury (BDI) remains a devastating iatrogenic complication that adversely impacts the quality of life with high healthcare costs. Despite a decrease in the incidence of laparoscopic cholecystectomy-related BDI, the absolute number remains high as cholecystectomy is a commonly performed surgical procedure. Open Roux-en-Y hepaticojejunostomy with meticulous surgical technique remains the gold standard surgical procedure with excellent long-term results in most patients. As with many hepatobiliary disorders, a minimally invasive approach has been recently explored to minimize access-related complications and improve postoperative recovery. Since patients with gallstone disease are often admitted for a minimally invasive cholecystectomy, laparoscopic and robotic approaches for repairing postcholecystectomy biliary stricture are attractive. While recent series have shown the feasibility and safety of minimally invasive post-cholecystectomy biliary stricture management, most are retrospective analyses with small sample sizes. Also, long-term follow-up is available only in a limited number of studies. The principles and technique of minimally invasive repair resemble open repair except for the extent of adhesiolysis and the suturing technique with continuous sutures commonly used in minimally invasive approaches. The robotic approach overcomes key limitations of laparoscopic surgery and has the potential to become the preferred minimally invasive approach for the repair of postcholecystectomy biliary stricture. Despite increasing use, lack of prospective studies and selection bias with available evidence precludes definitive conclusions regarding minimally invasive surgery for managing postcholecystectomy biliary stricture. High-volume prospective studies are required to confirm the initial promising outcomes with minimally invasive surgery.

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Ultrasound-guided bilateral subcostal transversus abdominis plane block in gastric cancer patients undergoing laparoscopic gastrectomy: a randomised-controlled double-blinded study

Cited by 9 publications

References 30 publications

Application of Ultrasound-Guided Transversus Abdominis Plane Block Combined with Nalbuphine Patient-Controlled Intravenous Analgesia in Postoperative Analgesia After Laparotomy: A Randomized Controlled Trial

Application of Ultrasound-Guided Transversus Abdominis Plane Block Combined with Nalbuphine Patient-Controlled Intravenous Analgesia in Postoperative Analgesia After Laparotomy: A Randomized Controlled Trial

[Retracted] Analysis of Interventional Application Effect of Ultrasound‐Guided QLB and TAPB in the Treatment and Analgesia of Patients Undergoing Laparoscopic Colorectal Surgery

Analgesic effect of ultrasound-guided bilateral transversus abdominis plane block in laparoscopic gastric cancer

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