Comparison of anesthetic efficacy and subserratus anterior plane block and quadratus lumbo-rum block combined with general anesthesia for laparoscopic radical nephrectomy
Objective To compare the anesthetic effect and subserratus anterior plane block(SAPB)and quadratus lumborum block(QLB)combined with general anesthesia in laparoscopic radi-cal nephrectomy.Methods The clinical data of 140 patients with renal carcinoma in our hospital from January 2023 to October 2023 were retrospectively analyzed.According to the anesthesia method,the patients were divided into the low anterior serratus group(receiving the SAPB combined with general anesthesia)and the quadratus lumbosus block group(receiving the QLB combined with general anes-thesia),with 70 cases in each group.The time of operation,time of onset,dosage of anesthesia,visu-al analog scale(VAS),quality of recovery score-15(QOR-15)and incidence of adverse reactions were analyzed in the two groups.Results The operation time and onset time of block in low anterior serratus muscle group were shorter than those in quadratus lumbosus block group(all P＜0.05).Two days after surgery,the QOR-15 score in the low anterior serratus muscle group was higher than that in the quadratus block group[(106.26±5.02)points vs.(103.26±6.22)points,P＜0.05].The incidence of adverse reactions in the low anterior serratus group was lower than that in the quadratus lumbosus block group,and the difference was statistically significant[5.71％(4/70)vs.17.14％(12/70),P＜0.05].Conclusions SAPB and QLB combined with general anesthesia can provide good anesthetic effects in laparoscopic radical kidney cancer surgery,but SAPB is a more ideal anes-thesia choice in terms of simplicity of operation,speed of onset,quality of patient recovery and safety.
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