Early postoperative pain is a common complaint after elective laparoscopic cholecystectomy.
Persistent acute postoperative pain is the dominating complaint and the primary reason for a
prolonged stay after this procedure. This pain can be superficial incisional wound pain
(somatic), deep visceral pain and/or post-laparoscopy shoulder pain (referred somatic), all
of which may require systemic analgesia. Hypothesis: Laparoscopic pain can be superficial
incisional wound pain (somatic pain), deep visceral pain and/or post-laparoscopy shoulder
pain (referred somatic pain), so the block must be periportal for incisional wound pain,
intraperitoneal to decrease pain caused by pneumoperitoneum, and of the bladder bed to
decrease the deep visceral pain. This combination can give the maximum analgesia after
laparoscopic cholecystectomy.