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Original Research

Open Access

Is the application of subcostal transversus abdominis plane block effective for pain control in classical four-port laparoscopic cholecystectomy?

  • Atakan Ozkan1,*,
  • Nihat Gulaydin2
  • Bahriye Kilic3
  • Mert Mahsuni Sevinc4

1Department of General Surgery, Esencan Hospital, Esenyurt University, 34510 Istanbul, Turkey

2Department of General Surgery, Atlas University Faculty of Medicine, 34408 Istanbul, Turkey

3Department of Anesthesiology, Atlas University Faculty of Medicine, 34408 Istanbul, Turkey

4Department of General Surgery, Istanbul Training and Research Hospital, 34098 Istanbul, Turkey

DOI: 10.22514/sv.2024.076 Vol.20,Issue 7,July 2024 pp.69-75

Submitted: 08 September 2023 Accepted: 29 December 2023

Published: 08 July 2024

*Corresponding Author(s): Atakan Ozkan E-mail:


The utilization of transversus abdominis plane (TAP) block for postoperative pain management has proven to be efficacious. The purpose of this inquiry is to evaluate the effectiveness of right-sided TAP blockade guided by ultrasonography (USG) in managing pain subsequent to laparoscopic cholecystectomy. A total of 60 patients were equallydistributed into two groups. The control group was comprised of patients who did not receive a TAP block, whereas the TAP block group consisted of patients who underwent an ultrasound-guided, right-sided unilateral subcostal TAP block with 20 mL of 0.25% bupivacaine. A Verbal Numerical Rating Scale was administered to all participants for pain assessment at postoperative intervals of 0th, 6th, 12th and 24th hours. Additionally, the overall amount of supplementary analgesic used after surgery, age distribution among each gender classification and body mass index range categories as well as operation time duration; use or non-use of drain; and incidence rate for postoperative complications were recorded for each patient individually. The mean age of participants was 47.72 ± 13.80 years, with a female-to-male ratio of 41/19. The control group exhibited significantly higher pain scale measurements than the block group at the postoperative 0th and the postoperative 24th hour. Drain replacement yielded notably higher pain scores for both TAP and control groups at the postoperative 0th hour. Neither BMI nor operation duration had significant effects on postsurgical pain in either patient group—whether or not they received a TAP block treatment. Our research shows that the implementation of a TAP block and exclusion of surgical area drainage placement yield favorable results in mitigating postoperative pain. Notably, BMI and procedure duration do not exhibit any discernible impact on postoperative pain management.


Laparoscopic cholecystectomy; Transversus abdominis plane block; Drain; Pain

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Atakan Ozkan,Nihat Gulaydin,Bahriye Kilic,Mert Mahsuni Sevinc. Is the application of subcostal transversus abdominis plane block effective for pain control in classical four-port laparoscopic cholecystectomy?. Signa Vitae. 2024. 20(7);69-75.


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