Rectointercostal plane block to reduce pain after laparoscopic gallbladder removal
Official title: Evaluation of the Effect of Ultrasound-Guided Bilateral Recto-Intercostal Fascial Plane Block on Postoperative Pain, Opioid Consumption, and Quality of Recovery in Laparoscopic Cholecystectomy Surgery: A Prospective, Randomized, Double-Blind Controlled Clinical Study
Run by Istinye University · NCT07745972 · Data updated 2026-11-12
This study tests whether giving a rectointercostal block during laparoscopic cholecystectomy can lower postoperative pain for patients without changing general anesthesia.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 60 (estimated) |
| Sponsor | Istinye University Academic / other |
| Locations | 1 site (Istanbul) |
| Status | Recruiting |
| Started | August 6, 2026 |
| Main results expected | December 31, 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | August 10, 2026 |
| Trial ID | NCT07745972 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with BMI under 35 kg/m² and ASA I–II undergoing laparoscopic cholecystectomy, without contraindications to regional anesthesia.
✕Probably not a fit
Patients with higher BMI, higher ASA status, bleeding disorders, or allergies to local anesthetics may not receive benefit and could be at higher risk.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
In this randomized trial, patients undergoing laparoscopic cholecystectomy are assigned to receive a rectointercostal fascial plane block with bupivacaine 0.25% or no regional block, in addition to standard general anesthesia. The blocking procedure is performed before extubation by an experienced anesthesiologist and is concealed from the patient; the block administrator and pain assessors are blinded to group assignment. Postoperative pain outcomes are collected by a separate blinded assessor to determine the block’s effectiveness in improving analgesia. Inclusion criteria include BMI less than 35 and ASA I–II, while several conditions exclude participation, such as coagulopathy or allergy to local anesthetics. The trial is conducted at Istinye University with randomization via computer-generated codes and independent allocation concealment.
Why it matters
Potential benefit: If successful, patients may experience less postoperative pain and reduced analgesic needs after laparoscopic cholecystectomy.
How similar studies have gone: Prior regional blocks have shown pain reduction in abdominal surgery, but this specific rectointercostal plane block approach for cholecystectomy is being evaluated in this setting.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * BMI \< 35 kg/m² * Patients with ASA scores I and II Exclusion Criteria: * Patients who do not want to be included in the study * Psychiatric and neurological disease with blurred consciousness * Patients with ASA \> 3 * BMI \> 35 kg/m² * Abnormality in coagulation parameters * History of allergy to local anesthetic drugs * Infection at the injection site
Where it's running
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Istinye University Liv Topkapı Hospital
Istanbul, Turkey (Türkiye) Recruiting
Study contacts
- Study coordinator: Bora Bilal, Proffesor
- Email: bora.bilal@istinye.edu.tr
- Phone: +902124446623
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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.