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. 2026 Jun 19;19:610083. doi: 10.2147/LRA.S610083

Table 1.

Representative Clinical Studies Evaluating Rectus Sheath Block in Laparoscopic Cholecystectomy

Study Design Sample Size Intervention Comparator Main Findings
Aboelsuod et al20 RCT 80 Bilateral RSB Intraperitoneal + wound infiltration Reduced morphine requirements
Kamei et al27 RCT 75 Bilateral RSB in SILC SILC or standard LC Lower early postoperative pain
Fu et al28 Dose-finding study 24 Bilateral RSB None Defined ED50 and ED95 for ropivacaine
Fu et al29 RCT 58 RSB + butorphanol RSB + sufentanil Lower visceral pain and PONV
Jeong et al33 RCT 200 Preoperative RSB Postoperative RSB Lower opioid consumption
Gupta et al34 RCT 75 Bilateral RSB Intraperitoneal LA or control Lowest opioid use and pain scores
Saxena et al35 RCT 80 Bilateral RSB + subcostal TAP block Port-site infiltration Lower opioid consumption and pain scores
Kitamura et al36 RCT 62 Bilateral RSB Umbilical infiltration No significant differences
Wu et al37 RCT 180 TAPB + RSB TAPB or infiltration Similar pain outcomes
Izwan et al38 RCT 138 TAP + RSB Port-site infiltration Lower opioid consumption
Kim et al39 RCT 40 Bilateral RSB Control Reduced early postoperative pain
Selvi et al40 Retrospective 67 SIPB + bilateral RSB OSTAP block Lower tramadol consumption
Yoon et al41 RCT 88 TAP + RSB Bilateral TAP block No additional analgesic benefit
Karaarslan et al42 RCT 189 OSTAP + RSB Control Lower pain and improved QoR-15
Ramkiran et al43 RCT 61 OSTAP + RSB OSTAP or infiltration Lowest tramadol consumption
Mo et al44 RCT 49 EOI + bilateral RSB TAP + bilateral RSB Lower opioid use and improved recovery
Gangadhar et al46 RCT 70 EOIB + RSB Port-site infiltration Reduced analgesic requirements and pain scores
Manıcı et al47 Retrospective 44 Bilateral RSB Bilateral ESPB Similar opioid consumption and pain scores
Marrone et al10 Case report 1 DRSB None Feasible with excellent analgesia
Petroni et al52 Case report 1 DRSB None Excellent analgesia without additional opioid requirements