M-TAPA vs ESPB for lung function after gallbladder removal
Official title: Comparison of the Effects of Erector Spinae Plane Block and Modified Thoracoabdominal Nerve Block Through Perichondrial Approach on Postoperative Pulmonary Function and Analgesic Consumption in Patients Undergoing Laparoscopic Cholecystectomy
Run by Kayseri City Hospital · NCT07666646 · Data updated 2026-11-12
This trial tests whether two ultrasound-guided nerve blocks, M-TAPA and ESPB, better preserve postoperative lung function and reduce pain after laparoscopic cholecystectomy.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 70 Years |
| Sex | All |
| Enrollment | 60 (estimated) |
| Sponsor | Kayseri City Hospital Government |
| Locations | 1 site (Kayseri, Kocasinan) |
| Status | Recruiting |
| Started | August 11, 2026 |
| Main results expected | January 1, 2027 |
| Study ends | March 1, 2027 |
| Registry record updated | August 13, 2026 |
| Trial ID | NCT07666646 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18-70 years old, ASA I-III, scheduled for elective laparoscopic cholecystectomy, able to consent and perform pulmonary function tests.
✕Probably not a fit
Patients with coagulation disorders, infection at the block site, allergy to local anesthetics, severe pre-existing lung disease, high BMI, pregnancy, or inability to cooperate with pulmonary function testing may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized, controlled study compares two regional anesthesia techniques, M-TAPA and ESPB, in adults undergoing laparoscopic cholecystectomy. All participants receive standard general anesthesia and multimodal analgesia, with blocks performed before incision. The primary aim is to assess postoperative pulmonary function and analgesic use, with 60 patients randomized equally to each block. Blocks are ultrasound-guided and use identical local anesthetic dosing. Outcomes include respiratory function and pain control in the immediate postoperative period.
Why it matters
Potential benefit: If successful, this approach could improve breathing after abdominal surgery and decrease pain, potentially speeding recovery.
How similar studies have gone: Ultrasound-guided fascial plane blocks have shown benefits in postoperative analgesia and pulmonary function in abdominal surgery, but direct head-to-head data between M-TAPA and ESPB are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients aged 18-70 years * American Society of Anesthesiologists (ASA) physical status I-III * Patients scheduled for elective laparoscopic cholecystectomy * Patients who provide written informed consent * Patients who are able to cooperate and perform pulmonary function tests (PFTs) Exclusion Criteria: * Coagulation disorders or anticoagulant therapy contraindicating regional anesthesia * Infection at the planned block site * Known allergy to local anesthetic agents * Conversion to open surgery * Hemodynamic instability * Inability to cooperate with pulmonary function tests (PFTs) * Pre-existing severe pulmonary disease (e.g., severe chronic obstructive pulmonary disease or restrictive lung disease) * Chronic opioid use or opioid dependence * Pregnancy or breastfeeding * Active smokers * Body mass index (BMI) \> 35 kg/m²
Where it's running
-
Kayseri City Hospital
Kayseri, Kocasinan, Turkey (Türkiye) Recruiting
Study contacts
- Study coordinator: Muhammed N Tekcan, Anesthesiology and Reanimation
- Email: mntekcan@gmail.com
- Phone: +905387931833
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.