|
KMID : 0371420170920030136
|
|
Annals of Surgical Treatment and Research
2017 Volume.92 No. 3 p.136 ~ p.142
|
|
|
Laparoscopic cholecystectomy under spinal-epidural anesthesia vs. general anaesthesia: a prospective randomised study
|
|
Donmez Turgut
Erdem Vuslat Muslu
Uzman Sinan
Yildirim Dogan
Avaroglu Huseyin
Ferahman Sina
Sunamak Oguzhan
|
|
|
Abstract
|
|
|
Purpose: Laparoscopic cholecystectomy (LC) is usually performed under the general anesthesia (GA). Aim of the study is to investigate the availability, safety and side effects of combined spinal/epidural anesthesia (CSEA) and comparison it with GA for LC.
Methods: Forty-nine patients who have a LC plan were included into the study. The patients were randomly divided into GA (n = 25) and CSEA (n = 24) groups. Intraoperative and postoperative adverse events, postoperative pain levels were compared between groups.
Results: Anesthesia procedures and surgeries for all patients were successfully completed. After the organization of pneumoperitoneum in CSEA group, 3 patients suffered from shoulder pain (12.5%) and 4 patients suffered from abdominal discomfort (16.6%). All these complaints were recovered with IV fentanyl administration. Only 1 patient developed hypotension which is recovered with fluid replacement and no need to use vasopressor treatment. Postoperative shoulder pain was significantly less observed in CSEA group (25% vs. 60%). Incidence of postoperative nausea and vomiting (PONV) was less observed in CSEA group but not statistically significant (4.2% vs. 20%). In the group of CSEA, 3 patients suffered from urinary retention (12.5%) and 2 patients suffered from spinal headache (8.3%). All postoperative pain parameters except 6th hour, were less observed in CSEA group, less VAS scores and less need to analgesic treatment in CSEA group comparing with GA group.
Conclusion: CSEA can be used safely for laparoscopic cholecystectomies. Less postoperative surgical field pain, shoulder pain and PONV are the advantages of CSEA compared to GA.
|
|
|
KEYWORD
|
|
|
Laparoscopic cholecystectomy, General anesthesia, Epidural anesthesia, Spinal anesthesia
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|