scholarly journals Meta-analysis of randomized controlled trials on the safety and effectiveness of day-case laparoscopic cholecystectomy

2008 ◽  
Vol 95 (2) ◽  
pp. 161-168 ◽  
Author(s):  
K. Gurusamy ◽  
S. Junnarkar ◽  
M. Farouk ◽  
B. R. Davidson
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Randomized Controlled Trials ◽  
Meta Analysis ◽  
Controlled Trials ◽  
Day Case ◽  
Randomized Controlled

scholarly journals The Effects of Erector Spinae Plane Block in Terms of Postoperative Analgesia in Patients Undergoing Laparoscopic Cholecystectomy: A Meta-Analysis of Randomized Controlled Trials

2020 ◽  
Vol 9 (9) ◽  
pp. 2928
Author(s):  
Chang-Hoon Koo ◽  
Jin-Young Hwang ◽  
Hyun-Jung Shin ◽  
Jung-Hee Ryu
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Randomized Controlled Trials ◽  
Postoperative Analgesia ◽  
Meta Analysis ◽  
Erector Spinae ◽  
Control Group ◽  
Controlled Trials ◽  
Randomized Controlled ◽  
Erector Spinae Plane Block ◽  
Pain Scores

Ultrasound-guided erector spinae plane block (ESPB), a recent regional analgesic technique, has been used to manage acute pain after surgery. The aim of this meta-analysis is to identify the benefits of ESPB in patients undergoing laparoscopic cholecystectomy (LC). The authors searched PubMed, EMBASE, CENTRAL, CINAHL, and Web of Science to identify all randomized controlled trials (RCTs) evaluating the effects of ESPB on postoperative pain after LC. Primary outcome was defined as 24 h cumulative opioid consumption. Secondary outcomes were pain scores and the incidence of postoperative nausea and vomiting (PONV). We estimated mean differences (MD) and odds ratio (OR) using a random-effects model. A total of 8 RCTs, including 442 patients, were included in the final analysis. Postoperative opioid consumption was significantly lower in the ESPB group than in the control group (MD −4.72, 95% CI −6.00 to −3.44, p < 0.001). Compared with the control group, the ESPB group also showed significantly lower pain scores and incidence of PONV. A separate analysis of RCTs comparing ESPB with oblique subcostal transversus abdominis plane (OSTAP) block showed that the analgesic efficacy of ESPB was similar to that of OSTAP block. The results of this meta-analysis demonstrated that ESPB may provide effective postoperative analgesia in patients undergoing LC.

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