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Recruiting NCT06123117

STALL vs Sole Local Wound Infiltration in Laparoscopic Cholecystectomy

Trial Parameters

Condition Cholelithiasis
Sponsor Helsinki University Central Hospital
Study Type INTERVENTIONAL
Phase N/A
Enrollment 850
Sex ALL
Min Age 18 Years
Max Age N/A
Start Date 2024-01-16
Completion 2025-12
Interventions
single transversus abdominis laparoscopy-guided plane blocklocal trocar site ropivacaine infiltration

Brief Summary

This trial is a prospective randomized superiority trial comparing sole ropivacaine based local trocar site infiltration to local infiltration combined with laparoscopic ropivacaine TAP block (STALL) in LCC. There are only a few randomized trials comparing sole local anesthesia to additional laparoscopic TAP block in laparoscopic cholecystectomy and they have yet failed to show evidence in favor of TAP block. We hypothesize STALL (Single Transversus Abdominis Laparoscopy-guided plane block combined with Local trocar site ropivacaine infiltration) is superior to local port site infiltration, provided that the sample size is sufficiently big. The aim of this randomized study is to compare the efficacy of sole local anesthesia of trocar sites to STALL in LCC.

Eligibility Criteria

Inclusion Criteria: * All patients scheduled for elective or emergency LCC, aged over 18 and able to give an informed consent. Exclusion Criteria: * Age under 18 years, chronic daily opioid and/or pain tolerance / pain threshold -modifying medication use (abuse), pregnancy, known allergy to local anesthetics, diagnosed severe coagulopathy and incapability to give informed consent for whatever reason.

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