urovestВестник урологииUrology Herald2308-6424Rostov State Medical University10.21886/2308-6424-2024-12-6-89-93urovest-985Research ArticleОБЗОРЫ ПУБЛИКАЦИЙ – ТЕКУЩЕЕ МНЕНИЕCURRENT STATE-OF-THE-ARTБлокада поперечного пространства живота в онкоурологииTransversus abdominis plane block in oncourology: a narrative reviewhttps://orcid.org/0000-0003-3460-3427ПетровС. Б.PetrovS. B.

Сергей Борисович Петров, д-р мед. наук, профессор

Санкт-Петербург

Sergey B. Petrov, Dr.Sc.(Med), Full Prof.

St. Petersburg

petrov-uro@yandex.ruhttps://orcid.org/0009-0003-9123-2113НикулинаК. А.NikulinaK. A.

Ксения Алексеевна Никулина

Санкт-Петербург

Kseniya A. Nikulina

St. Petersburg

nikulinkaaaa@icloud.comhttps://orcid.org/0000-0003-3550-0067АрнаутовА. В.ArnautovA. V.

Александр Валерьевич Арнаутов

Санкт-Петербург

Aleksandr V. Arnautov

St. Petersburg

av-arnautov@yandex.ruhttps://orcid.org/0000-0001-5183-5153РеваС. А.RevaS. A.

Сергей Александрович Рева, д-р мед. наук

Санкт-Петербург

Sergey A. Reva, Dr.Sc.(Med)

St. Petersburg

sgreva79@mail.ruПервый Санкт-Петербургский государственный медицинский университет им. академика И.П. ПавловаРоссияPavlov First St. Petersburg State Medical UniversityRussian Federation2024070120251268993Copyright © Петров С.Б., Никулина К.А., Арнаутов А.В., Рева С.А., 20252025Петров С.Б., Никулина К.А., Арнаутов А.В., Рева С.А.Petrov S.B., Nikulina K.A., Arnautov A.V., Reva S.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.urovest.ru/jour/article/view/985

   Блокада поперечного пространства живота (transversus abdominis plane block / TAP block) — методика регионарной анестезии, которая используется как элемент мультимодальной послеоперационной аналгезии при широком спектре абдоминальных хирургических вмешательств. При этом применение и эффективность данной методики при выполнении урологических операций недостаточно освещены в отечественной литературе. Нами был произведён поиск литературы в базах данных PubMed, EMBASE, Web of Knowledge и Cochrane Library с целью оценки эффективности применения блокады поперечного пространства живота в сравнении с другими методиками анестезии, используемыми при онкоурологических операциях. Установлено, что блокада поперечного пространства живота, являясь элементом мультимодальной анестезии у пациентов онкоурологического профиля, приводит к сокращению интра- и послеоперационного использования опиатов, снижению выраженности болевого синдрома в послеоперационном периоде, а также демонстрирует более быстрое и полное послеоперационное восстановление пациентов.

   Transversus abdominis plane block (TAP block) is a regional anesthesia technique used as part of multimodal postoperative analgesia for a wide range of abdominal surgical procedures. However, the use and effectiveness of this technique in urological surgeries are not well documented in Russian literature. We conducted a literature search in PubMed, EMBASE, Web of Knowledge, and Cochrane Library databases to evaluate the effectiveness of using transversus abdominis plane blocks compared to other anesthesia techniques in oncourological surgery. It has been determined that transversus abdominis plane block, serving as an integral component of multimodal anesthesia in patients undergoing oncourological procedures, significantly curtails the reliance on opiates both during and following surgery. Moreover, it mitigates the intensity of pain syndrome in the postoperative phase and fosters a swifter and more comprehensive recovery process for patients.

регионарная анестезияблокада поперечного пространства животаонкоурологиямультимодальное послеоперационное лечение болиTAP-блокадапослеоперационный болевой синдромнефрэктомияпростатэктомияцистэктомияregional anesthesiatransversus abdominis plane blockoncourologymultimodal postoperative pain treatmentTAP-blockpostoperative pain syndromenephrectomyprostatectomycystectomyИсследование не имело спонсорской поддержкиThe study was not sponsoredReferencesTran DQ, Bravo D, Leurcharusmee P, Neal JM. Transversus Abdominis Plane Block : A Narrative Review. Anesthesiology. 2019;131(5):1166-1190. DOI: 10.1097/ALN.0000000000002842Tran DQ, Bravo D, Leurcharusmee P, Neal JM. Transversus Abdominis Plane Block : A Narrative Review. Anesthesiology. 2019;131(5):1166-1190. DOI: 10.1097/ALN.0000000000002842Tsai HC, Yoshida T, Chuang TY, Yang SF, Chang CC, Yao HY, Tai YT, Lin JA, Chen KY. Transversus Abdominis Plane Block : An Updated Review of Anatomy and Techniques. Biomed Res Int. 2017;2017:8284363. 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The authors declare that there are no conflicts of interest present.