Analgesic efficacy of modified thoracoabdominal nerves block through the perichondrial approach in laparoscopic cholecystectomy: A retrospective study with propensity analysis
Modified thoracoabdominal nerves block through the perichondral approach (M‐TAPA) was recently reported to provide broad analgesia with only a single injection of local anesthetics (LA) on each side. However, the effectiveness of M‐TAPA in laparoscopic cholecystectomy (LC) is not often reported. We...
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| Veröffentlicht in: | Asian journal of endoscopic surgery 2023-07, Vol.16 (3), p.648-652 |
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| container_title | Asian journal of endoscopic surgery |
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| creator | Matsuura, Hideki Terada, Yuki Rokkaku, Yuki Tamagawa, Hiroshi Taniguchi, Eiji Saito, Yurina Tsujimura, Naoto Tanaka, Nobuhiro Kawaguchi, Masahiko |
| description | Modified thoracoabdominal nerves block through the perichondral approach (M‐TAPA) was recently reported to provide broad analgesia with only a single injection of local anesthetics (LA) on each side. However, the effectiveness of M‐TAPA in laparoscopic cholecystectomy (LC) is not often reported. We retrospectively evaluated the analgesic efficacy of M‐TAPA in patients who underwent LC and compared it with conventional LA infiltration (LAI) by calculating the propensity score. The primary outcome was the frequency of analgesic use after surgery. Although there was no difference in the frequency of analgesic use within 48 hours (P = .063), there was significantly less analgesic use 24–48 hours after surgery in the TAPA group (P = .02). Intraoperative remifentanil administration also significantly decreased in the TAPA group (P |
| doi_str_mv | 10.1111/ases.13183 |
| format | Article |
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However, the effectiveness of M‐TAPA in laparoscopic cholecystectomy (LC) is not often reported. We retrospectively evaluated the analgesic efficacy of M‐TAPA in patients who underwent LC and compared it with conventional LA infiltration (LAI) by calculating the propensity score. The primary outcome was the frequency of analgesic use after surgery. Although there was no difference in the frequency of analgesic use within 48 hours (P = .063), there was significantly less analgesic use 24–48 hours after surgery in the TAPA group (P = .02). Intraoperative remifentanil administration also significantly decreased in the TAPA group (P < .001). We found that pre‐incisional M‐TAPA may have an advantage over LAI with respect to analgesia on postoperative day 1.</description><identifier>ISSN: 1758-5902</identifier><identifier>EISSN: 1758-5910</identifier><identifier>DOI: 10.1111/ases.13183</identifier><identifier>PMID: 36958288</identifier><language>eng</language><publisher>Kyoto, Japan: John Wiley & Sons Australia, Ltd</publisher><subject>Analgesics ; Cholecystectomy ; laparoscopic cholecystectomy ; Laparoscopy ; modified thoracoabdominal nerves block through the perichondral approach (M‐TAPA) ; pre‐emptive analgesia ; Surgical outcomes</subject><ispartof>Asian journal of endoscopic surgery, 2023-07, Vol.16 (3), p.648-652</ispartof><rights>2023 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.</rights><rights>2023 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3403-ee10417d78ef375aa004927b8834ae40734fa2e0295979f94351a0d05a1f3ab33</cites><orcidid>0000-0002-8077-7404 ; 0000-0003-2622-9260</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fases.13183$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fases.13183$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36958288$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Matsuura, Hideki</creatorcontrib><creatorcontrib>Terada, Yuki</creatorcontrib><creatorcontrib>Rokkaku, Yuki</creatorcontrib><creatorcontrib>Tamagawa, Hiroshi</creatorcontrib><creatorcontrib>Taniguchi, Eiji</creatorcontrib><creatorcontrib>Saito, Yurina</creatorcontrib><creatorcontrib>Tsujimura, Naoto</creatorcontrib><creatorcontrib>Tanaka, Nobuhiro</creatorcontrib><creatorcontrib>Kawaguchi, Masahiko</creatorcontrib><title>Analgesic efficacy of modified thoracoabdominal nerves block through the perichondrial approach in laparoscopic cholecystectomy: A retrospective study with propensity analysis</title><title>Asian journal of endoscopic surgery</title><addtitle>Asian J Endosc Surg</addtitle><description>Modified thoracoabdominal nerves block through the perichondral approach (M‐TAPA) was recently reported to provide broad analgesia with only a single injection of local anesthetics (LA) on each side. However, the effectiveness of M‐TAPA in laparoscopic cholecystectomy (LC) is not often reported. We retrospectively evaluated the analgesic efficacy of M‐TAPA in patients who underwent LC and compared it with conventional LA infiltration (LAI) by calculating the propensity score. The primary outcome was the frequency of analgesic use after surgery. Although there was no difference in the frequency of analgesic use within 48 hours (P = .063), there was significantly less analgesic use 24–48 hours after surgery in the TAPA group (P = .02). Intraoperative remifentanil administration also significantly decreased in the TAPA group (P < .001). We found that pre‐incisional M‐TAPA may have an advantage over LAI with respect to analgesia on postoperative day 1.</description><subject>Analgesics</subject><subject>Cholecystectomy</subject><subject>laparoscopic cholecystectomy</subject><subject>Laparoscopy</subject><subject>modified thoracoabdominal nerves block through the perichondral approach (M‐TAPA)</subject><subject>pre‐emptive analgesia</subject><subject>Surgical outcomes</subject><issn>1758-5902</issn><issn>1758-5910</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kc1u1TAQhS1ERUthwwMgS2wqpFvs2KkddldV-ZEqdVFYRxNn3LgkcbCTVnkqXrFzuaULFp3NjGY-nRn7MPZOilNJ8Qky5lOppFUv2JE0pd2UlRQvn2pRHLLXOd8KcWakVq_YoTqrSltYe8T-bEfobzAHx9H74MCtPHo-xDb4gC2fu5jARWjaOARC-YjpDjNv-uh-0TTF5aajjHzCFFwXxzYFwmCaUgTX8TDyHiZIMbs40RZCenRrntHNcVg_8y1PONN4oka4Q57npV35fZg7ThITjjnMKwfaveaQ37ADD33Gt4_5mP38cvHj_Nvm8urr9_Pt5cYpLdQGUQotTWssemVKACF0VZjGWqUBtTBKeyhQFFVZmcpXWpUSRCtKkF5Bo9QxO9nr0g2_F8xzPYTssO9hxLjkujCVVEYYrQn98B96G5dE9xJlVSEV_faO-rinHL01J_T1lMIAaa2lqHc21jsb6782Evz-UXJpBmyf0H--ESD3wH3ocX1Gqt5eX1zvRR8A-OasMQ</recordid><startdate>202307</startdate><enddate>202307</enddate><creator>Matsuura, Hideki</creator><creator>Terada, Yuki</creator><creator>Rokkaku, Yuki</creator><creator>Tamagawa, Hiroshi</creator><creator>Taniguchi, Eiji</creator><creator>Saito, Yurina</creator><creator>Tsujimura, Naoto</creator><creator>Tanaka, Nobuhiro</creator><creator>Kawaguchi, Masahiko</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8077-7404</orcidid><orcidid>https://orcid.org/0000-0003-2622-9260</orcidid></search><sort><creationdate>202307</creationdate><title>Analgesic efficacy of modified thoracoabdominal nerves block through the perichondrial approach in laparoscopic cholecystectomy: A retrospective study with propensity analysis</title><author>Matsuura, Hideki ; Terada, Yuki ; Rokkaku, Yuki ; Tamagawa, Hiroshi ; Taniguchi, Eiji ; Saito, Yurina ; Tsujimura, Naoto ; Tanaka, Nobuhiro ; Kawaguchi, Masahiko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3403-ee10417d78ef375aa004927b8834ae40734fa2e0295979f94351a0d05a1f3ab33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Analgesics</topic><topic>Cholecystectomy</topic><topic>laparoscopic cholecystectomy</topic><topic>Laparoscopy</topic><topic>modified thoracoabdominal nerves block through the perichondral approach (M‐TAPA)</topic><topic>pre‐emptive analgesia</topic><topic>Surgical outcomes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Matsuura, Hideki</creatorcontrib><creatorcontrib>Terada, Yuki</creatorcontrib><creatorcontrib>Rokkaku, Yuki</creatorcontrib><creatorcontrib>Tamagawa, Hiroshi</creatorcontrib><creatorcontrib>Taniguchi, Eiji</creatorcontrib><creatorcontrib>Saito, Yurina</creatorcontrib><creatorcontrib>Tsujimura, Naoto</creatorcontrib><creatorcontrib>Tanaka, Nobuhiro</creatorcontrib><creatorcontrib>Kawaguchi, Masahiko</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Asian journal of endoscopic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matsuura, Hideki</au><au>Terada, Yuki</au><au>Rokkaku, Yuki</au><au>Tamagawa, Hiroshi</au><au>Taniguchi, Eiji</au><au>Saito, Yurina</au><au>Tsujimura, Naoto</au><au>Tanaka, Nobuhiro</au><au>Kawaguchi, Masahiko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analgesic efficacy of modified thoracoabdominal nerves block through the perichondrial approach in laparoscopic cholecystectomy: A retrospective study with propensity analysis</atitle><jtitle>Asian journal of endoscopic surgery</jtitle><addtitle>Asian J Endosc Surg</addtitle><date>2023-07</date><risdate>2023</risdate><volume>16</volume><issue>3</issue><spage>648</spage><epage>652</epage><pages>648-652</pages><issn>1758-5902</issn><eissn>1758-5910</eissn><abstract>Modified thoracoabdominal nerves block through the perichondral approach (M‐TAPA) was recently reported to provide broad analgesia with only a single injection of local anesthetics (LA) on each side. However, the effectiveness of M‐TAPA in laparoscopic cholecystectomy (LC) is not often reported. We retrospectively evaluated the analgesic efficacy of M‐TAPA in patients who underwent LC and compared it with conventional LA infiltration (LAI) by calculating the propensity score. The primary outcome was the frequency of analgesic use after surgery. Although there was no difference in the frequency of analgesic use within 48 hours (P = .063), there was significantly less analgesic use 24–48 hours after surgery in the TAPA group (P = .02). Intraoperative remifentanil administration also significantly decreased in the TAPA group (P < .001). 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| subjects | Analgesics Cholecystectomy laparoscopic cholecystectomy Laparoscopy modified thoracoabdominal nerves block through the perichondral approach (M‐TAPA) pre‐emptive analgesia Surgical outcomes |
| title | Analgesic efficacy of modified thoracoabdominal nerves block through the perichondrial approach in laparoscopic cholecystectomy: A retrospective study with propensity analysis |
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