Spinal vs General Anesthesia for Laparoscopic Cholecystectomy
Open Access
- 1 May 2008
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of Surgery
- Vol. 143 (5), 497-501
- https://doi.org/10.1001/archsurg.143.5.497
Abstract
Objective To compare spinal anesthesia with the gold standard general anesthesia for elective laparoscopic cholecystectomy in healthy patients. Design Controlled randomized trial. Setting University hospital. Patients One hundred patients with symptomatic gallstone disease and American Society of Anesthesiologists status I or II were randomized to have laparoscopic cholecystectomy under spinal (n = 50) or general (n = 50) anesthesia. Methods Intraoperative parameters, postoperative pain, complications, recovery, and patient satisfaction at follow-up were compared between the 2 groups. Results All the procedures were completed by the allocated method of anesthesia, as there were no conversions from spinal to general anesthesia. Pain was significantly less at 4 hours (P < .001), 8 hours (P < .001), 12 hours (P < .001), and 24 hours (P = .02) after the procedure for the spinal anesthesia group compared with those who received general anesthesia. There was no difference between the 2 groups regarding complications, hospital stay, recovery, or degree of satisfaction at follow-up. Conclusions Spinal anesthesia is adequate and safe for laparoscopic cholecystectomy in otherwise healthy patients and offers better postoperative pain control than general anesthesia without limiting recovery. Trial Registration clinicaltrials.gov Identifier: NCT00492453Keywords
This publication has 9 references indexed in Scilit:
- Parecoxib vs. lornoxicam in the treatment of postoperative pain after laparoscopic cholecystectomy: a prospective randomized placebo-controlled trialEuropean Journal of Anaesthesiology, 2007
- L’administration péridurale de dexaméthasone réduit la douleur et la demande d’analgésiques postopératoiresCanadian Journal of Anesthesia/Journal canadien d'anesthésie, 2006
- The Effect of Intraperitoneal Local Anesthesia in Laparoscopic Cholecystectomy: A Systematic Review and Meta-AnalysisAnesthesia & Analgesia, 2006
- Local anaesthesia for pain relief after laparoscopic cholecystectomy—a systematic reviewBest Practice & Research Clinical Anaesthesiology, 2005
- Laparoscopic cholecystectomy under spinal anesthesia with nitrous oxide pneumoperitoneum: A feasibility studySurgical Endoscopy, 2003
- Postherniorrhaphy urinary retention—effect of local, regional, and general anesthesia: A reviewRegional Anesthesia & Pain Medicine, 2002
- Laparoscopic cholecystectomy performed under regional anesthesia in patients with chronic obstructive pulmonary diseaseSurgical Endoscopy, 2001
- Stress responses in three different anesthetic techniques for carbon dioxide laparoscopic cholecystectomyJournal of Clinical Anesthesia, 1998
- Laparoscopic cholecystectomy under epidural anesthesia in patients with chronic respiratory disease.Surgical Endoscopy, 1998