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http://dx.doi.org/10.1016/j.jclinane.2022.110825DOI Listing

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: Esophagectomy is a key component of esophageal cancer treatment, with minimally invasive esophagectomy (MIE) increasingly replacing open esophagectomy (OE). Effective postoperative pain management can be achieved through various analgesic modalities. This study compares the efficacy of thoracic epidural anesthesia (TEA) with non-TEA methods in managing postoperative pain following MIE.

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: Current literature has demonstrated the benefits of transversus abdominis plane (TAP) blocks for reducing postoperative pain and opioid consumption for an array of surgical procedures. Some randomized controlled trials and retrospective studies have compared ultrasound guidance TAP blocks completed by anesthesiologists (US-TAP) to laparoscopic guidance TAP blocks completed by surgeons (LAP-TAP). However, the findings of these studies have not been consolidated to improve recommendations and patient outcomes.

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Article Synopsis
  • Postoperative pain after laparoscopic cholecystectomy (LC) is significant, and the transversus abdominis plane block (TAPB) is a method to manage this pain, delivered via ultrasound (UTAPB) or laparoscopic (LTAPB) guidance.
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  • The study concludes that UTAPB provides better early pain relief after LC, suggesting that further research is necessary to confirm these findings.
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