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Modified thoracoabdominal nerves block through perichondrial approach (M-TAPA) provides effective analgesia in abdominal surgery and is a choice for opioid sparing anesthesia.

作者信息

Tulgar Serkan, Selvi Onur, Thomas David Terence, Deveci Ugur, Özer Zeliha

机构信息

Maltepe University Faculty of Medicine, Department of Anesthesiology and Reanimation, Istanbul, Turkey.

Maltepe University Faculty of Medicine, Department of Anesthesiology and Reanimation, Istanbul, Turkey.

出版信息

J Clin Anesth. 2019 Aug;55:109. doi: 10.1016/j.jclinane.2019.01.003. Epub 2019 Jan 9.

DOI:10.1016/j.jclinane.2019.01.003
PMID:30639940
Abstract
摘要

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1
Modified thoracoabdominal nerves block through perichondrial approach (M-TAPA) provides effective analgesia in abdominal surgery and is a choice for opioid sparing anesthesia.经软骨膜途径改良胸腹神经阻滞(M-TAPA)在腹部手术中提供有效的镇痛,是一种减少阿片类药物使用的麻醉选择。
J Clin Anesth. 2019 Aug;55:109. doi: 10.1016/j.jclinane.2019.01.003. Epub 2019 Jan 9.
2
Comparing ultrasound-guided modified thoracoabdominal nerves block through perichondrial approach with oblique subcostal transversus abdominis plane block for patients undergoing laparoscopic cholecystectomy: a randomized, controlled trial.经软骨膜入路超声引导改良胸腹神经阻滞与斜肋下腹横肌平面阻滞在腹腔镜胆囊切除术中的比较:一项随机对照试验。
BMC Anesthesiol. 2023 Apr 27;23(1):139. doi: 10.1186/s12871-023-02106-z.
3
Modified thoracoabdominal nerves block through perichondrial approach (M-TAPA) provides a sufficient postoperative analgesia for laparoscopic sleeve gastrectomy.经软骨膜途径改良胸腹神经阻滞(M-TAPA)为腹腔镜袖状胃切除术提供了充分的术后镇痛。
J Clin Anesth. 2020 Feb;59:44-45. doi: 10.1016/j.jclinane.2019.06.020. Epub 2019 Jun 15.
4
Anesthetic management by blockage of thoracoabdominal nerves through perichondrial approach (TAPA) for open nephrectomy in a pediatric patient with Wilms tumor.经软骨膜途径(TAPA)阻滞胸腹神经用于小儿肾母细胞瘤患者开放性肾切除术的麻醉管理。
J Clin Anesth. 2020 Feb;59:51-52. doi: 10.1016/j.jclinane.2019.06.019. Epub 2019 Jun 17.
5
Continuous quadratus lumborum type 2 block: Good analgesia alternative for complex iliac and acetabulum fracture.持续腰方肌2型阻滞:复杂髂骨和髋臼骨折的良好镇痛替代方法。
J Clin Anesth. 2018 May;46:91. doi: 10.1016/j.jclinane.2018.01.019. Epub 2018 Feb 8.
6
RETRACTED: Thoracoabdominal nerves block through perichondral approach for transapical transcatheter aortic valve implantation.撤回:经软骨膜入路行胸主动脉神经阻滞在经心尖主动脉瓣植入术中的应用。
J Clin Anesth. 2019 Aug;55:3. doi: 10.1016/j.jclinane.2018.12.026. Epub 2018 Dec 19.
7
Combined quadratus lumborum block and lumbar plexus block for a pediatric patient undergoing Ilizarov procedure.联合腰方肌阻滞和腰丛阻滞用于接受伊里扎罗夫手术的儿科患者。
J Clin Anesth. 2018 Sep;49:40-41. doi: 10.1016/j.jclinane.2018.06.002. Epub 2018 Jun 5.
8
Transmuscular quadratus lumborum (TQL) block for laparoscopic colorectal surgery: study protocol for a double-blind, prospective randomized placebo-controlled trial.经竖脊肌肌间沟腹横肌平面(TQL)阻滞在腹腔镜结直肠手术中的应用:一项双盲、前瞻性随机安慰剂对照试验的研究方案。
Trials. 2020 Jun 26;21(1):581. doi: 10.1186/s13063-020-04525-6.
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Intrathecal Morphine Versus Nerve Blocks in an Enhanced Recovery Pathway for Pancreatic Surgery.椎管内吗啡与神经阻滞在胰腺手术加速康复路径中的比较。
J Surg Res. 2019 Dec;244:15-22. doi: 10.1016/j.jss.2019.05.049. Epub 2019 Jul 3.
10
Transversus abdominis plane block versus perioperative intravenous lidocaine versus patient-controlled intravenous morphine for postoperative pain control after laparoscopic colorectal surgery: study protocol for a prospective, randomized, double-blind controlled clinical trial.腹腔镜结直肠手术后腹横肌平面阻滞与围手术期静脉注射利多卡因及患者自控静脉注射吗啡用于术后疼痛控制的比较:一项前瞻性、随机、双盲对照临床试验的研究方案
Trials. 2014 Dec 4;15:476. doi: 10.1186/1745-6215-15-476.

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Ultrasound-Guided Modified Thoracoabdominal Nerve Block Through Perichondrial Approach for Postoperative Analgesia Management in Living Liver Donors: A Randomized, Prospective, Controlled Study.超声引导下经软骨膜途径改良胸腹神经阻滞用于活体肝供者术后镇痛管理:一项随机、前瞻性、对照研究
Clin Transplant. 2025 Sep;39(9):e70224. doi: 10.1111/ctr.70224.
2
Anterior Quadratus lumborum block versus modified perichondrial thoracoabdominal nerve block (m-TAPA) for postoperative analgesia following laparoscopic cholecystectomy: a randomized controlled trial.腹腔镜胆囊切除术后前侧腰方肌阻滞与改良软骨膜下胸腹神经阻滞(m-TAPA)用于术后镇痛的随机对照试验
BMC Anesthesiol. 2025 Aug 4;25(1):393. doi: 10.1186/s12871-025-03281-x.
3
Re-modified thoracoabdominal nerves block through the perichondrial approach at the 9th intercostal space provides analgesia in the upper abdomen: a volunteer study.
通过第9肋间间隙软骨膜入路重新改良的胸腹神经阻滞在上腹部提供镇痛效果:一项志愿者研究
J Anesth. 2025 Jul 22. doi: 10.1007/s00540-025-03560-4.
4
Ultrasound-guided modified thoracoabdominal nerve block for postoperative analgesia in laparoscopic renal cyst decompression: a randomized double-blind controlled trial.超声引导下改良胸腹神经阻滞用于腹腔镜肾囊肿去顶减压术后镇痛:一项随机双盲对照试验
Front Med (Lausanne). 2025 Jul 4;12:1582428. doi: 10.3389/fmed.2025.1582428. eCollection 2025.
5
Effects of Modified Thoracoabdominal Nerves Block Through Pericondrial Approach on Postoperative Pulmonary Functions in Laparoscopic Bariatric Surgery: A Randomized Controlled Study.经骨膜下入路改良胸腹神经阻滞对腹腔镜减重手术患者术后肺功能的影响:一项随机对照研究
Obes Surg. 2025 May 21. doi: 10.1007/s11695-025-07908-3.
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Continuous Re-MTAPA Block via SEDIC Catheter Placement: A Novel Analgesia Technique in Two Complex Surgical Cases.通过SEDIC导管置入进行连续再MTAPA阻滞:两例复杂手术病例中的一种新型镇痛技术。
Cureus. 2025 May 14;17(5):e84087. doi: 10.7759/cureus.84087. eCollection 2025 May.
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A Comparison of Two Fascial Plane Blocks for Abdominal Analgesia in Laparoscopic Cholecystectomy Surgery (M-TAPA vs. External Oblique Intercostal Plane Block): A Prospective Randomized Study.两种筋膜平面阻滞用于腹腔镜胆囊切除术腹部镇痛的比较(M-TAPA与腹外斜肌肋间平面阻滞):一项前瞻性随机研究
J Clin Med. 2025 Apr 28;14(9):3050. doi: 10.3390/jcm14093050.
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Evaluation of the efficacy of M-TAPA and EXORA block application for analgesia after laparoscopic cholecystectomy: a prospective, single-blind, observational study.评估M-TAPA和EXORA阻滞应用于腹腔镜胆囊切除术后镇痛的疗效:一项前瞻性、单盲、观察性研究。
Korean J Anesthesiol. 2025 Aug;78(4):361-368. doi: 10.4097/kja.24563. Epub 2025 Apr 15.
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Bilateral Modified Thoracoabdominal Nerve Block Through a Perichondrial Approach in Patients Undergoing Major Abdominal Surgery: A Randomized Single-Blind Controlled Trial.经软骨膜入路双侧改良胸腹神经阻滞用于腹部大手术患者:一项随机单盲对照试验
Turk J Anaesthesiol Reanim. 2025 Feb 11;53(1):12-19. doi: 10.4274/TJAR.2025.241752.
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Analgesic efficacy of the external oblique intercostal fascial plane block on postoperative acute pain in laparoscopic sleeve gastrectomy: a randomized controlled trial.腹外斜肌肋间筋膜平面阻滞对腹腔镜袖状胃切除术术后急性疼痛的镇痛效果:一项随机对照试验
Korean J Anesthesiol. 2025 Apr;78(2):159-170. doi: 10.4097/kja.24569. Epub 2025 Jan 21.