Comparative Evaluation of Efficacy of General Anaesthesia versus Spinal Anaesthesia for Laparoscopic Cholecystectomy: An Observational Study
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 6
Abstract
Background: Laparoscopic cholecystectomy (LC) with pneumoperitoneum has traditionally been performed under general anesthesia, however, owing in part to the advancement of surgical and anesthetic techniques, many LC have been successfully performed under the spinal anesthetic techniques. Aim of the Study: To compare efficacy of general anesthesia versus spinal anesthesia for laparoscopic cholecystectomy. Materials and Methods: The present study was conducted in the Department of Anaesthesiology, L N Medical College and Research Centre, Bhopal, MP, India. The study protocol was approved from the Institutional ethical committee. For the study, we selected newly diagnosed cases of cholelithiasis with age ranging between 18-80 years and was in American Society of Anaesthesiologist′s (ASA) physical status I, II or III. The patients were randomly grouped into two groups, Group GA and Group SA. Patients in group GA underwent surgery under general anesthesia and patients in group SA underwent surgery under spinal anesthesia. Results: The mean duration of anesthesia in Group GA is 53.64 min and in group SA is 39.41 min. Mean duration of pneumoperitoneum in Group GA is 30.19 min and in Group SA is 37.54 min. The mean duration of surgery in Group GA is 32.44 min and in Group SA is 38.74 min. The abdominal pain was the most common postoperative event seen in Group GA, followed by nausea and vomiting. In Group SA, urinary retention was the most commonly seen postoperative event, followed by hypotension. Conclusion: It can be concluded that general anesthesia and spinal anesthesia are efficacious for cholecystectomy. The mean duration of anesthesia is less with spinal anesthesia.
Authors and Affiliations
Anil Bhati
Keywords
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- EP ID EP532474
- DOI 10.21276/ijmrp.2018.4.6.008
- Views 122
- Downloads 0
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