Safer pain relief after liver surgery? new block tested against epidural
NCT ID NCT07642336
First seen Jun 27, 2026 · Last updated Aug 20, 2026 · Updated 2 times
Summary
This study compares two ways to manage pain after open liver surgery: a newer erector spinae plane block (ESPB) and the standard thoracic epidural. Sixty adults having elective open liver resection will be randomly assigned to one method. The goal is to see if ESPB provides similar pain relief with fewer risks, especially bleeding complications.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Ropivacaine (a numbing medication) given via two different procedures: erector spinae plane block or thoracic epidural
- What this could lead to
- If successful, this could show that erector spinae plane block is a safer alternative to epidural for pain control after open liver surgery, reducing bleeding risks.
- What could go wrong
- This is a small, early-stage trial with only 60 participants. The new block may not work as well as the standard epidural, and individual results may vary.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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63 people
The number who actually took part.
- Started
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Jun 2026
- Finished
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Aug 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * \* Patients aged between 18 and 80 years old. * American Society of Anesthesiologists (ASA) physical status classification I to III. * Scheduled to undergo elective open liver resection (open hepatectomy). * Patient provides written informed consent to participate in the study. Exclusion Criteria: * Severe coagulation profile derangement prior to surgery (defined as International Normalized Ratio \[INR\] \> 1.5 or 2.0, or Platelet count \[PLT\] \< 50 G/L or 100 G/L). * Severe hepatic impairment (Child-Pugh Class C). * Severe chronic obstructive pulmonary disease (COPD GOLD stage III-IV). * Severe cardiac dysfunction with an ejection fraction (EF) \< 35%. * Severe obesity with a Body Mass Index (BMI) \> 40 kg/m². * Localized infection at the planned puncture/needle insertion site. * Known allergy or hypersensitivity to local anesthetics (e.g., Ropivacaine) or opioids (e.g., Morphine). * Pregnancy or current lactation.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Department of Anesthesiology and Resuscitation, Bach Mai Hospital
Hà Nội, Kim Lien, Vietnam
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