Safety of laparoscopic cholecystectomy and its surgical outcome under spinal anesthesia
Author(s): Mohit Roy and Rakesh Modi
Abstract:Introduction: The aim of this prospective randomized study was to compare the surgical outcome of LC performed with the patient under spinal anesthesia with that of LC performed with the patient under general anesthesia in the management of symptomatic uncomplicated gallstone disease.
Materials and Methods: In the spinal anaesthesia group, the patients were placed in sitting or left lateral decubitus position as deemed comfortable. The subarachnoid space puncture was performed between the L3-L4apophyses and 2.5–3.5 ml of hyperbaric 0.5% bupivacaine was injected.
Results: In the above figure it is seen that there was statically significant difference in intraoperative hypotension between the two groups (p value 0.008) but there was insignificant difference in hypertension between two groups.
Conclusion: Intraoperative hypotension and bradycardia need to be addressed during laparoscopic cholecystectomy under spinal anaesthesia. It provided with good patient selection laparoscopic cholecystectomy under spinal anaesthesia.