Related Experiment Video
Updated: Jun 27, 2026
05:39
Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
Erector Spinae Plane Block Versus Thoracic Paravertebral Block in Laparoscopic Cholecystectomy: A Randomized
Özlem Turhan1, Zerrin Sungur1, Müşerref Beril Dinçer1
1Department of Anesthesiology and Reanimation, İstanbul Faculty of Medicine, İstanbul University, İstanbul 34093, Türkiye.
Journal of Clinical Medicine
|June 26, 2026
Summary
Ultrasound-guided erector spinae plane block (ESPB) and thoracic paravertebral block (TPVB) significantly reduced postoperative pain and opioid use compared to intravenous (IV) analgesia after laparoscopic cholecystectomy, enhancing patient recovery.
Area of Science:
- Anesthesiology
- Regional Anesthesia
- Surgical Recovery
Background:
- Postoperative pain management after laparoscopic cholecystectomy (LC) is crucial for patient recovery.
- Traditional intravenous (IV) analgesia may be insufficient, leading to higher opioid consumption and poorer recovery outcomes.
- Regional anesthesia techniques offer potential benefits for pain control and recovery.
Purpose of the Study:
- To compare the efficacy of ultrasound-guided erector spinae plane block (ESPB) and thoracic paravertebral block (TPVB) against IV analgesia for postoperative pain.
- To evaluate the impact of these blocks on opioid consumption, quality of recovery, and other patient-centered outcomes following LC.
- To assess the safety and feasibility of ESPB and TPVB in the context of LC surgery.
Main Methods:
- A randomized, single-blind study involving 120 adult patients undergoing elective LC.
- Patients were allocated to three groups: ESPB, TPVB, or IV analgesia.
- Pain scores, 24-hour opioid consumption (tramadol), rescue analgesia, patient satisfaction, and Quality of Recovery-15 (QoR-15) scores were primary and secondary outcomes.
Main Results:
- Both ESPB and TPVB groups showed significantly lower 24-hour tramadol consumption compared to the IV analgesia group (p < 0.001).
- Static and dynamic pain scores were reduced in the regional block groups (ESPB, TPVB) versus the IV group.
- Quality of Recovery-15 (QoR-15) scores were significantly improved in patients receiving ESPB or TPVB compared to IV analgesia (p < 0.001).
- Block performance time was shorter for ESPB than TPVB.
Conclusions:
- Ultrasound-guided ESPB and TPVB are effective regional analgesia techniques for laparoscopic cholecystectomy.
- These blocks significantly improve postoperative pain control, reduce opioid requirements, and enhance overall patient recovery compared to IV analgesia alone.
- ESPB and TPVB can be valuable components of multimodal analgesia strategies for patients undergoing LC.
