{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T12:19:55Z","timestamp":1777119595404,"version":"3.51.4"},"reference-count":29,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T00:00:00Z","timestamp":1704844800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Regional anesthesia in postoperative pain management has developed in recent years, especially with the advent of fascial plane blocks. This study aims to compare the ultrasound-guided bilateral erector spinae plane block (ESPB) versus the ultrasound-guided bilateral transversus abdominis plane block (TAPB) on postoperative analgesia after laparoscopic or robotic urologic surgery. This was a prospective observational study; 97 patients (ESPB-group) received bilateral ultrasound-guided ESPB with 20 mL of ropivacaine 0.375% plus 0.5 mcg\/kg of dexmedetomidine in each side at the level of T7\u2013T9 and 93 patients (TAPB-group) received bilateral ultrasound-guided TAPB with 20 mL ropivacaine 0.375% or 0.25%. The primary outcome was the postoperative numeric rating scale (NRS) pain score, which was significantly lower in the ESPB group on postoperative days 0, 1, 2, and 3 (p &lt; 0.001) and, consequently, the number of patients requiring postoperative supplemental analgesic rescue therapies was significantly lower (p &lt; 0.001). Concerning the secondary outcomes, consumption of ropivacaine was significantly lower in the group (p &lt; 0.001) and the total amount of analgesic rescue doses was significantly lower in the ESPB-group than the TAPB-group in postoperative days from 2 to 4 (1 vs. 3, p &gt; 0.001). Incidence of postoperative nausea and vomiting was higher in the TAPB group and no block-related complications were observed. Our data indicate that ESPB provides postoperative pain control at least as good as TAPB plus morphine, with less local anesthetic needed.<\/jats:p>","DOI":"10.3390\/jcm13020383","type":"journal-article","created":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T07:50:48Z","timestamp":1704873048000},"page":"383","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Analgesic Strategies for Urologic Videolaparoscopic or Robotic Surgery in the Context of an Enhanced Recovery after Surgery Protocol: A Prospective Study Comparing Erector Spinae Plane Block versus Transversus Abdominis Plane Block"],"prefix":"10.3390","volume":"13","author":[{"given":"Marco","family":"Micali","sequence":"first","affiliation":[{"name":"Anaesthesia and Intensive Care Unit, E.O. Ospedali Galliera, 16128 Genoa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9456-439X","authenticated-orcid":false,"given":"Giada","family":"Cucciolini","sequence":"additional","affiliation":[{"name":"Department of Surgical, Medical, Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulia","family":"Bertoni","sequence":"additional","affiliation":[{"name":"Anaesthesia and Intensive Care Unit, NOA\u2014Nuovo Ospedale Apuano, 54100 Massa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michela","family":"Gandini","sequence":"additional","affiliation":[{"name":"Anaesthesia and Intensive Care Unit, E.O. Ospedali Galliera, 16128 Genoa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Lattuada","sequence":"additional","affiliation":[{"name":"Anaesthesia and Intensive Care Unit, E.O. Ospedali Galliera, 16128 Genoa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregorio","family":"Santori","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, 16126 Genoa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlo","family":"Introini","sequence":"additional","affiliation":[{"name":"Department of Abdominal Surgery, Urology Unit, E.O. Ospedali Galliera, 12128 Genoa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5588-2608","authenticated-orcid":false,"given":"Francesco","family":"Corradi","sequence":"additional","affiliation":[{"name":"Department of Surgical, Medical, Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6709-6172","authenticated-orcid":false,"given":"Claudia","family":"Brusasco","sequence":"additional","affiliation":[{"name":"Anaesthesia and Intensive Care Unit, E.O. Ospedali Galliera, 16128 Genoa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,1,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1007\/s11701-021-01268-7","article-title":"Implementation of a Multimodal Opioid-Sparing Enhanced Recovery Pathway for Robotic-Assisted Radical Prostatectomy","volume":"16","author":"Ashrafi","year":"2022","journal-title":"J. Robot. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"3000605211033173","DOI":"10.1177\/03000605211033173","article-title":"Clinical Efficacy of an Enhanced Recovery after Surgery Protocol in Patients Undergoing Robotic-Assisted Laparoscopic Prostatectomy","volume":"49","author":"Cao","year":"2021","journal-title":"J. Int. Med. 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