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Updated: Jun 21, 2025
Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
Midpoint transverse process to pleura block for postoperative analgesia following laparoscopic renal cyst
Wei-Jie He1, Wen-Xing Xu1, Xu-Dong Zhang1
1Department of Anesthesiology, Liuzhou People's Hospital affiliated to Guangxi Medical University, Liuzhou 545000, Guangxi Zhuang Autonomous Region, China.
Background:
The midpoint transverse process to pleura (MTP) block, a novel technique for thoracic paravertebral block (TPVB), was first employed in laparoscopic renal cyst decortication.
Case Summary:
Thoracic paravertebral nerve block is frequently employed for perioperative analgesia during laparoscopic cyst decortication. To address safety concerns associated with TPVBs, we administered MTP blocks in two patients prior to administering general anesthesia for laparoscopic cyst decortication. The MTP block was performed at the T9 level under ultrasound guidance, with 20 mL of 0.5% ropivacaine injected. Reduced sensation to cold and pinprick was observed from the T8 to T11 dermatome levels. Immediately postoperative Numeric Pain Rating Scale scores were 0/10 at rest and on movement, with none exceeding a mean 24 h numeric rating scale > 3.
Conclusion:
MTP block was effective technique for providing postoperative analgesia for patients undergoing laparoscopic renal cyst decortication.
