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Laparoscopic cholecystectomy under spinal versus general anesthesia: a prospective, randomized study
Samer S Bessa1, Islam A El-Sayes, Mohamed K El-Saiedi
1Department of General Surgery, University of Alexandria, Alexandria, Egypt. samerbessa@gmail.com
Summary
Spinal anesthesia for laparoscopic cholecystectomy (LC) is safe and feasible, significantly reducing early postoperative pain compared to general anesthesia. Patient satisfaction was comparable between the two anesthetic techniques.
Area of Science:
- Anesthesiology
- Surgical Outcomes
- Minimally Invasive Surgery
Background:
- Laparoscopic cholecystectomy (LC) is a common surgical procedure.
- Spinal anesthesia presents potential advantages over general anesthesia for LC.
- This study aimed to compare surgical outcomes of LC under spinal versus general anesthesia.
Purpose of the Study:
- To compare the surgical outcomes of laparoscopic cholecystectomy (LC) performed under spinal anesthesia versus general anesthesia.
- To evaluate intraoperative events, postoperative complications, and pain scores.
- To assess patient satisfaction with the anesthetic technique.
Main Methods:
- A prospective, randomized study involving sixty patients undergoing LC.
- Patients were assigned to either spinal anesthesia LC (SALC) or general anesthesia LC (GALC) groups (30 patients each).
- Data collected included intraoperative events, postoperative complications, pain scores, and patient satisfaction via questionnaire.
Main Results:
- All LC procedures were completed laparoscopically without anesthetic conversions in the SALC group.
- No significant difference in mean operative time was observed between groups.
- The SALC group experienced significantly lower mean pain scores at 2 and 4 hours postoperatively and required fewer analgesics within 24 hours.
- Patient satisfaction was high in both groups and not statistically different.
Conclusions:
- Laparoscopic cholecystectomy under spinal anesthesia is a feasible and safe option.
- Spinal anesthesia for LC is associated with significantly reduced early postoperative pain compared to general anesthesia.
- Patient satisfaction levels are comparable between spinal and general anesthesia for LC.
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