Laparoscopic Versus US-Guided Subcostal TAP Block After Laparoscopic Cholecystectomy

Impact of Laparoscopic Versus Ultrasound-Guided Subcostal Transversus Abdominis Plane Block on Pain and Recovery After Laparoscopic Cholecystectomy: A Randomized Double-Blinded Controlled Study

Status

UNKNOWN

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT04276285

Enrollment

Registered

2020-02-19

Start date

2020-02-17

Completion date

2021-03-30

Last updated

2020-08-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cholecystitis; Gallstone

Brief summary

Zaghiyan et al hypothesized that Laparoscopic TAP was noninferior to US-TAP and performed a randomized clinical trial comparing Laparoscopic TAP, US-TAP, and no TAP in minimally invasive colorectal surgery. The authors reported that LTAP was superior to UTAP in achieving pain control and minimizing opioid use in the first 24 hours after colorectal surgery. This prospective randomized, controlled trial will be performed to assessed the efficacy of laparoscopic subcostal TAP block (LSTAP) compared to ultrasound-guided subcostal TAP (USTAP) block after laparoscopic cholecystectomy regarding postoperative pain scores in the first 24-hours after the intervention and analgesic requirements.

Interventions

PROCEDURELaparoscopic TAP

Subcostal TAP block will be performed after surgery under laparoscopic guidance

PROCEDUREUS TAP

Subcostal TAP block will be performed after surgery under US guidance

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

TRIPLE (Subject, Caregiver, Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

18 Years to 65 Years

Healthy volunteers

Inclusion criteria

* Consecutive adult patients of either gender who will undergo laparoscopic cholecystectomy will be recruited to the study.

Exclusion criteria

* Pregnant women * Patients who will undergo open cholecystectomy * Patients who will need conversion to conventional open cholecystectomy * Patients with ASA III classification or higher * Patients who will undergo laparoscopic cholecystectomy together with other abdominal interventions.

Design outcomes

Primary

Measure	Time frame	Description
Pain score	24 hours after cholecystectomy	pain will be assessed with visual analogue scale from 0-10

Secondary

Measure	Time frame	Description
Analgesic requirement	24 hours after cholecystectomy	the need for intravenous analgesia after surgery calculated as the cumulative dose of analgesic administered over 24 hours

Countries

Egypt

Contacts

Primary ContactSameh H Emile, M.D.

sameh200@hotmail.com+201006267150

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026