Objective The aim of this study was to compare the postoperative analgesic efficacy of
preincisional and intraperitoneal levobupivacaine or normal saline in patients undergoing
laparoscopic cholecystectomy. Methods Sixty patients who participated in the study were
randomly divided into 3 groups. Group 1 received intraperitoneal levobupivacaine (0.25%
40 mL) immediately after the pneumoperitoneum. Group 2 received periportal
levobupivacaine (0.25% 5 mL in each trochar incision area) before incision and …

Methods: Monitoring was undertaken according to our epidural protocol. Pain scores (at rest
and on movement) were used to identify efficacy using a 4 point verbal score. A variety of
interventions were used and outcome measured 30 minutes later. Success was identified by
a decrease in the pain score of at least one point.