A ‘PROSPECT’ review of laparoscopic cholecystectomy pain makes the following procedure specific recommendations.
Acetaminophen (Paracetamol) + NSAIDs or CoX-2 Inhibitors + site local anesthetic infiltration.
They do not in general recommend TAP blocks, intra-peritoneal local anesthetic or gabapentinoids. Opioids are reserved for rescue analgesia.
They recommend low-pressure pneumoperitoneum, postprocedure saline lavage, and aspiration of pneumoperitoneum. Single-port incision techniques are not recommended to reduce pain.