Laparoscopic cholecystectomy feasibility under spinal anesthesia
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 2, Pages 66-71
AbstractIntroduction: Laparoscopic cholecystectomy may be performed using spinal anaesthesia instead of
general anaesthesia (LC). In-depth investigation on the feasibility of laparoscopic cholecystectomy
Spinal anaesthesia is administered. Aside from general anaesthesia, regional anaesthesia has been
documented as a solo approach for executing LC (spinal/epidural/combined spinal epidural).
Material and Methods: The American Society of Anaesthesiologists anesthesiologists provided SA to
12 patients who had elective laparoscopic cholecystectomy with physical status I or II. Throughout the
perioperative phase, only drugs for anxiety, pain reduction, nausea/vomiting alleviation, hypotension
therapy, and adverse event management were administered. The operating table tilt was kept to a
minimum and the CO2 pneumoperitoneum pressure was less than 10 mm Hg during the LC procedure.
Several studies were undertaken to examine postoperative complications as well as the duration of
hospitalisation and patient feedback.
Results: Everyone had a successful spinal anaesthetic procedure and the maximum degree of sensory
blocking was reached at T4. Only one patient had GA for surgery, and that patient was not able to have
surgery with SA. Four patients (33.33%) complained of right shoulder discomfort after surgery, and
Fentanyl was administered to two of them. There was no additional discomfort during or after the
procedure. Midazolam was prescribed to two individuals for anxiety. One patient needed ephedrine
because she was hypotensive, despite intraoperative crystalloid infusions of 1460 (SD 138) ml.
Conclusion: As a standard technique, a laparoscopic cholecystectomy may be performed under spinal
anaesthesia. This is both feasible and safe. In hospitals with limited resources, such as those in developing
countries, laparoscopic cholecystectomy may be done under spinal anaesthesia
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