ArticleJournal of medical case reports2025
Multilevel retro-superior costotransverse ligament block with liposomal bupivacaine for open hepatectomy: a case report.
Article in Journal of medical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- [Comparative observation of analgesic efficacy between liposomal bupivacaine and "cocktail" therapy following artificial intelligence-assisted direct anterior approach total hip arthroplasty: A prospective randomized controlled study].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Trial
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPostoperative analgesia after open liver resection is challenging owing to both somatic and visceral pain. Retro-superior costotransverse ligament block is a novel ultrasound-guided paraspinal block that may provide a safer and effective alternative to thoracic epidural analgesia, thoracic paravertebral block, and erector spinae plane block, particularly in patients with coagulation concerns. CASE PRESENTATION: A 38-year-old Han Chinese woman underwent open liver resection under general anesthesia. Preoperatively, ultrasound-guided retro-superior costotransverse ligament block was performed at the T6-7, T8-9, and T10-11 levels, with 10 mL of a bupivacaine mixture injected per level (total 30 mL: 20 mL of liposomal bupivacaine and 10 mL of plain bupivacaine).The patient achieved sensory blockade from T4 to T12 in the anterior and lateral thoracic wall, and from T3 to L1 posteriorly. Intraoperative hemodynamics remained stable. Postoperatively, visual analog scale scores for both resting and coughing remained between 0 and 2 for 48 h. No rescue analgesics were required, and the patient-controlled analgesia pump was not activated.
conclusionRetro-superior costotransverse ligament block with liposomal bupivacaine may provide effective, long-lasting, and opioid-sparing analgesia after major abdominal surgery, and is a promising option.
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