Comparison of the Effects of Moderate- and High-Dose Glucocorticoids on Postoperative Recovery

Inclusion Criteria: * Age between 18 and 65 years * ASA physical status I-II * Scheduled for elective laparoscopic cholecystectomy * Undergoing general anesthesia * Ability to provide written informed consent Exclusion Criteria: * Patients younger than 18 years or older than 65 years * Known allergy to dexamethasone * ASA physical status III or higher * Surgical procedures lasting longer than 120 minutes * Emergency surgeries * Pregnant or breastfeeding patients * Patients with coagulopathy or receiving anticoagulant therapy * Known allergy to local anesthetics * Localized infection at the injection site * Inflammatory bowel disease * Autoimmune diseses * Chronic pain conditions * Ocular herpes simplex infection * Cushing's disease * Myasthenia gravis * Anticipated poor compliance with the study protocol * Vaccination within the last 14 days * Use of systemic glucocorticoids or immunosuppressive drugs * İmpaired renal function (GFR \< 30 mL/min) * Liver cirrhosis * Congestive heart failure * Peripheral nerve disorders * Elective laparoscopic cholecystectomy due to malignancy * Conversion to open surgery during the operation * Epilepsy * Body mass index (BMI) \> 30 kg/m²