SynthesisSurgical endoscopy2025
Laparoscopic-assisted versus ultrasound-guided transversus abdominis plane block for laparoscopic abdominal surgeries: a systematic review and meta-analysis.
Synthesis in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- Preperitoneal analgesia under direct visualization: laparoscopic-guided deep rectus sheath block improves postoperative pain control after laparoscopic cholecystectomy: a randomized controlled trial.Surgical endoscopy · 2026Trial
- Opioid-sparing multimodal pain regimen in combination with intraoperative transversus abdominis plane block reduces opioid use after laparoscopic paraesophageal hernia repair.Surgical endoscopy · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Transversus Abdominis Plane block, performed using either laparoscopy-assisted or ultrasound-guided techniques, has emerged as a valuable option for managing postoperative pain in laparoscopic abdominal surgeries. Ultrasound guidance improves the accuracy and safety of anaesthetic administration, whereas the laparoscopy-assisted technique enables direct visualization of the injection site and anaesthetic dispersion, potentially increasing precision and reducing performance time. Previous meta-analyses have yielded limited results, largely due to their narrow focus on specific surgeries or heterogeneous study designs.
methodsA systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted to compare the effectiveness of LTAP and UTAP in adult patients undergoing laparoscopic abdominal surgery. Databases searched included MEDLINE, Cochrane Library, Embase, and Web of Science, following PRISMA and Cochrane Handbook guidelines. Eligible studies enrolled adult patients (P) undergoing laparoscopic abdominal surgery who received LTAP (I) or UTAP (C), with outcomes including postoperative pain and analgesic requirements (O).
resultsThirteen RCTs comprising 1254 patients undergoing cholecystectomy, bariatric surgery, or colorectal surgery were analysed. Laparoscopy-assisted Transversus Abdominis Plane block trended to marginally lower pain scores at 24 h (mean difference - 0.25, 95% confidence interval - 0.51 to 0.02, P = 0.066) and required significantly less time for performance (mean difference - 6.78 min, 95% confidence interval - 8.69 to - 4.87, P < 0.000001). No significant differences were observed in cumulative morphine consumption, time to the first analgesic request, or total surgical duration.
conclusionsBoth techniques provide effective postoperative analgesia. The laparoscopy-assisted approach may provide a procedural efficiency advantage due to shorter performance time. These findings support its application across a range of laparoscopic abdominal surgeries and underscore the need for further research to consolidate these advantages.
Indexed as
Identifiers
40694119What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.