Ireland
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EOI Block vs. TAP Block in Minimally Invasive Hepatectomy

NCT07615231 · tracked via the Priya Life Science South Korea tracker
Phase
Not applicable
Started
2026-06-01
Last updated
2026-06-08

Condition(s) studied

Hepatectomy

Investigational drug(s) / intervention(s)

External Oblique Intercostal BlockTAP Block

External Oblique Intercostal Block: Following the induction of general anesthesia, patients in this group will receive an ultrasound-guided bilateral external intercostal fascial plane block. A total of 40 mL of 0.375% ropivacaine (20 mL per side) will be injected into the plane between the external intercostal muscle and the internal intercostal muscle at the T6-7 or T7-8 level.

TAP Block: Following the induction of general anesthesia, patients in this group will receive an ultrasound-guided bilateral subcostal transversus abdominis plane block. A total of 40 mL of 0.375% ropivacaine (20 mL per side) will be injected into the fascial plane between the internal oblique and transversus abdominis muscles along the subcostal margin.

Study summary

This study aims to compare the analgesic efficacy of two different ultrasound-guided nerve blocks-the External Oblique Intercostal (EOI) block and the Subcostal Transversus Abdominis Plane (TAP) block-in patients undergoing minimally invasive hepatectomy. All participants will receive standardized general anesthesia and perioperative care at Seoul National University Hospital. Following anesthesia induction, patients will be randomly assigned to receive either an EOI block or a subcostal TAP block with 0.375% ropivacaine to provide regional pain relief. Postoperative pain will be managed using a combination of scheduled non-opioid analgesics and a fentanyl-based patient-controlled analgesia (PCA) device. The primary objective is to evaluate which regional technique more effectively reduces cumulative opioid consumption during the first 24 hours after surgery. Additionally, the study will assess pain intensity using the Numerical Rating Scale (NRS), the incidence of postoperative nausea and vomiting, and the overall recovery profile, including the time to first ambulation.

Eligibility

Sex
ALL
Min age
20 Years
Max age
80 Years
Healthy volunteers
No
Inclusion Criteria: Scheduled to undergo elective robotic or laparoscopic minimally invasive hepatectomy Exclusion Criteria: * American Society of Anesthesiologists physical status IV or higher * History of chronic pain or current use of analgesics, antidepressants, or anticonvulsants for pain management * Known hypersensitivity to general anesthetics, opioids, or local anesthetics * Conversion to open hepatectomy * Requirement for mechanical ventilation for more than 2 hours within 48 hours postoperatively * Any other clinical condition that makes the patient unsuitable for participation in the study.

Primary outcome measure(s)

  • Cumulative opioid consumption at 24 hours postoperatively — From the end of surgery up to 24 hours postoperatively
    The total amount of intravenous fentanyl administered via patient-controlled analgesia (PCA) and as rescue boluses will be recorded and converted to intravenous morphine equivalents for standardized comparison.

Trial sites (1)

FacilityCityRegionStatus
SNUH Seoul South Korea
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT07615231 on ClinicalTrials.gov ↗ ← All trials in South Korea