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Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery
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Laparoscopic cholecystectomy under epidural anesthesia: a feasibility study.

Ranendra Hajong1, Peter Daniel S Khariong1, Arup J Baruah1

  • 1Department of Surgery, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India.

North American Journal of Medical Sciences
|December 24, 2014
PubMed
Summary

Laparoscopic cholecystectomy (LC) is feasible under epidural anesthesia for suitable patients. This approach offers a safer alternative for high-risk individuals where general anesthesia is contraindicated.

Keywords:
CholecystectomyEpidural anesthesiaLaparoscopicShoulder pain

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Area of Science:

  • Surgical Anesthesia
  • Minimally Invasive Surgery

Background:

  • Laparoscopic cholecystectomy (LC) is typically performed under general anesthesia.
  • Regional anesthesia, specifically epidural anesthesia, is being explored as an alternative.
  • This approach aims to reduce complications in high-risk patients.

Purpose of the Study:

  • To assess the feasibility of performing LC under epidural anesthesia.
  • To evaluate the safety and efficacy of epidural anesthesia for LC in low-risk patients.
  • To identify potential benefits for high-risk surgical candidates.

Main Methods:

  • 20 patients (ASA class I or II) underwent LC under epidural anesthesia.
  • The level of epidural block was monitored.
  • Patient and surgeon satisfaction scores were recorded.

Main Results:

  • LC was successfully completed in 18 out of 20 patients.
  • Two patients required conversion to general anesthesia due to shoulder pain despite adequate analgesia.
  • High satisfaction scores were noted for both patients and surgeons.

Conclusions:

  • LC can be safely performed under epidural anesthesia with proper patient-surgeon communication.
  • Careful patient selection and monitoring are crucial for minimizing complications.
  • Epidural anesthesia presents a viable option for select patients undergoing LC.