Laparoscopic Cholecystectomy Under Spinal Anesthesia
Author Information
Author(s): Kar Manoranjan, Debnath Bibhas
Primary Institution: Medical College, Kolkata, India
Hypothesis
This study aims to assess the safety and feasibility of laparoscopic cholecystectomy under spinal anesthesia with low-pressure pneumoperitoneum.
Conclusion
Laparoscopic cholecystectomy under spinal anesthesia with low-pressure pneumoperitoneum can be performed safely and satisfactorily without major complications by experienced surgeons.
Supporting Evidence
- 291 out of 300 patients successfully underwent laparoscopic cholecystectomy under spinal anesthesia.
- Only 3 patients required conversion to open surgery due to complications.
- 90.08% of patients experienced shoulder pain, most of which were managed with massage.
- Mean operation duration was 39.6 minutes, with a range of 18 to 78 minutes.
- Oxygen saturation was maintained at around 97.6% during the procedure.
Takeaway
Doctors can safely remove gallbladders using a special technique that doesn't require patients to be fully asleep, which is cheaper and has fewer risks.
Methodology
This prospective study involved 300 patients undergoing laparoscopic cholecystectomy under spinal anesthesia with low-pressure pneumoperitoneum over three years.
Limitations
The study excluded patients with certain medical conditions and those who refused spinal anesthesia.
Participant Demographics
The mean age of participants was 34.6 years, with a gender ratio of 79 males to 221 females.
Digital Object Identifier (DOI)
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