The Efficacy of Erector Spinae Plane Block Versus Subcostal Transversus Abdominis Plane Block in Laparoscopic Nephrectomy: A Randomized Clinical Trial.
Clin J PainSep 16, 2026 (epub)
Mohamed Ollaek, Omar Aboudorra, Hala Goma et al.
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In 30 seconds
This randomized clinical trial evaluated the efficacy of erector spinae plane block (ESPB) versus subcostal transversus abdominis plane (TAP) block in managing postoperative pain in 70 patients undergoing laparoscopic nephrectomy. The ESPB group showed significantly lower median morphine consumption at 24 hours (P=0.032) and a reduced need for rescue analgesia compared to the TAP group.
Key findings
- Median morphine consumption at 24 hours was significantly lower in the ESPB group (P=0.032).
- The ESPB group had a lower incidence of rescue morphine requirement (OR=0.23; 95% CI=0.06-0.94; P=0.031).
- Patients receiving ESPB experienced lower pain scores at 12, 18, and 24 hours postoperatively (P<0.001).
- Time to first analgesic rescue was prolonged in the ESPB group (P=0.049).
Why it matters
Effective postoperative pain management is crucial for recovery after laparoscopic nephrectomy. This study suggests that ESPB may provide superior analgesia compared to TAP, potentially leading to improved patient outcomes and satisfaction.