Regional anesthesia

Comparison of erector spinae plane block and transverse abdominis plane block in postoperative recovery after laparoscopic colorectal surgery: a randomized, double-blind, controlled trial

Perioper Med (Lond)Published Randomised controlled trial

Authors' conclusion

Patients who received ESPB showed better recovery quality, improved analgesic effects, and higher postoperative satisfaction compared to those who underwent preoperative TAPB.

Study context

Population
Patients scheduled for laparoscopic radical resection of colorectal cancer
Participants
60 patients
Comparison
ESP block vs TAP block
  • Transversus abdominis plane block (TAPB)n = 30reference
Primary endpoint
Quality of recovery (QoR-15 scale)
Follow-up
24 h postoperatively
Methodological detailsdouble-blind
  • Double-blind

Primary result

As reported in the abstract

QoR-15 score

Erector spinae plane block (ESPB)

109.2

mean · SD 8.7

TAPB

101

mean · SD 10.1

P = 0.001

Secondary outcomes

Sufentanil consumption · 24 h postoperatively

P < 0.001

Hospital stay

P = 0.037

Mean

OutcomeESPBTAPBP value
QoR-15 score · 48 h postoperatively118.5 (SD 8.8)113.8 (SD 8.1)P = 0.035

VAS pain scores · first 24 h postoperatively

Lower VAS pain scores in ESPB vs TAPB (all p < 0.05)

Original publication

Comparison of erector spinae plane block and transverse abdominis plane block in postoperative recovery after laparoscopic colorectal surgery: a randomized, double-blind, controlled trial. Perioper Med (Lond). Published 3 December 2024. doi:10.1186/s13741-024-00475-8

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