Fernández Martín M T, López Álvarez S, Mozo Herrera G, Platero Burgos J J
Servicio de Anestesiología y Reanimación, Hospital Medina del Campo, Medina del Campo, Valladolid, España.
Servicio de Anestesiología y Reanimación, Hospital Abente y Lago, Complexo Hospitalario Universitario A Coruña, A Coruña, España.
Rev Esp Anestesiol Reanim. 2015 Dec;62(10):580-4. doi: 10.1016/j.redar.2015.02.011. Epub 2015 Apr 17.
Laparoscopic cholecystectomy has become the standard treatment for gallbladder diseases. However, there are still some patients for whom conversion to open surgery is required. This surgery can produce significant post-operative pain. Opioids drugs have traditionally been used to treat this pain, but side effects have led to seeking alternatives (plexus, nerve or fascia blocks or wound). The cases are presented of 4 patients subjected to ultrasound-guided intercostal branches blocks in the mid-axillary line from T6 to T12 with levobupivacaine as an analgesic alternative in open surgery of gallbladder, with satisfactory results.
腹腔镜胆囊切除术已成为胆囊疾病的标准治疗方法。然而，仍有一些患者需要转为开腹手术。这种手术会产生明显的术后疼痛。传统上一直使用阿片类药物来治疗这种疼痛，但副作用促使人们寻求替代方法（神经丛、神经或筋膜阻滞或伤口处理）。本文报道了4例在胆囊开腹手术中接受超声引导下于腋中线T6至T12肋间神经分支阻滞的患者，使用左旋布比卡因作为镇痛替代方法，效果满意。
