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Comparison of General Anesthesia with Spinal Anesthesia in Laparoscopic Cholecystectomy Operations

OBJECTIVE: Laparoscopic cholecystectomy (LC) operations are being performed under general anesthesia (GA). Further studies are needed on the issue whether these operations can be performed under spinal anesthesia (SA). In this study we aimed to compare SA with (GA) in terms of efficacy and complicat...

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Autores principales: Kisa, Alperen, Koruk, Senem, Kocoglu, Hasan, Leblebici, İhsan Metin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Istanbul Medeniyet University 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7433716/
https://www.ncbi.nlm.nih.gov/pubmed/32821460
http://dx.doi.org/10.5222/MMJ.2019.37929
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author Kisa, Alperen
Koruk, Senem
Kocoglu, Hasan
Leblebici, İhsan Metin
author_facet Kisa, Alperen
Koruk, Senem
Kocoglu, Hasan
Leblebici, İhsan Metin
author_sort Kisa, Alperen
collection PubMed
description OBJECTIVE: Laparoscopic cholecystectomy (LC) operations are being performed under general anesthesia (GA). Further studies are needed on the issue whether these operations can be performed under spinal anesthesia (SA). In this study we aimed to compare SA with (GA) in terms of efficacy and complications in patients who will undergo LC operations, and to investigate the effects of preemptive analgesia on the development of shoulder pain, transition to general anesthesia, and postoperative analgesia. METHOD: Sixty patients in ASA I-II risk group between 18-65 years of age undergoing laparoscopic cholecystectomy were randomly divided into general anesthesia (GA, n=30) and spinal anesthesia (SA, n=30) groups. Patients were premedicated with i.v. midazolam and fentanyl preoperatively. Anesthesia was induced with propofol in the GA group, and maintained with Desflurane and remifentanil. In the SA group, spinal anesthesia was provided with intratechal administration of 15 mg bupivacaine at L2-3 level, and block level was increased to T4 by keeping the patient in Trendelenburg position for 7-10 minutes. Demographic data, hemodynamic parameters, operation time, visual analog scale (VAS) scores at postoperative 0(th),1(st), 4(th), 8(th),12(th) and 24(th) hours, patient-surgeon satisfaction, side effects, and occurrence of right shoulder pain in SA group were inquired and recorded. RESULTS: Effective anesthesia was produced in both groups. Hypotension was observed in 5, bradycardia requiring atropin administration in 4, and perioperative shoulder pain in 9 patients in Group SA, but none of them required general anesthesia. Hypotension developed in one patient in Group GA. The postoperative VAS scores were significantly lower in Group SA at 0(th),1(st), 4(th) hours. Patient satisfection scores were higher in Group SA. CONCLUSION: We concluded that spinal anesthesia may be an alternative method to general anesthesia in patients who will undergo laparoscopic cholecystectomy operations especially when the risk of general anesthesia is too high.
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spelling pubmed-74337162020-08-19 Comparison of General Anesthesia with Spinal Anesthesia in Laparoscopic Cholecystectomy Operations Kisa, Alperen Koruk, Senem Kocoglu, Hasan Leblebici, İhsan Metin Medeni Med J Original Study OBJECTIVE: Laparoscopic cholecystectomy (LC) operations are being performed under general anesthesia (GA). Further studies are needed on the issue whether these operations can be performed under spinal anesthesia (SA). In this study we aimed to compare SA with (GA) in terms of efficacy and complications in patients who will undergo LC operations, and to investigate the effects of preemptive analgesia on the development of shoulder pain, transition to general anesthesia, and postoperative analgesia. METHOD: Sixty patients in ASA I-II risk group between 18-65 years of age undergoing laparoscopic cholecystectomy were randomly divided into general anesthesia (GA, n=30) and spinal anesthesia (SA, n=30) groups. Patients were premedicated with i.v. midazolam and fentanyl preoperatively. Anesthesia was induced with propofol in the GA group, and maintained with Desflurane and remifentanil. In the SA group, spinal anesthesia was provided with intratechal administration of 15 mg bupivacaine at L2-3 level, and block level was increased to T4 by keeping the patient in Trendelenburg position for 7-10 minutes. Demographic data, hemodynamic parameters, operation time, visual analog scale (VAS) scores at postoperative 0(th),1(st), 4(th), 8(th),12(th) and 24(th) hours, patient-surgeon satisfaction, side effects, and occurrence of right shoulder pain in SA group were inquired and recorded. RESULTS: Effective anesthesia was produced in both groups. Hypotension was observed in 5, bradycardia requiring atropin administration in 4, and perioperative shoulder pain in 9 patients in Group SA, but none of them required general anesthesia. Hypotension developed in one patient in Group GA. The postoperative VAS scores were significantly lower in Group SA at 0(th),1(st), 4(th) hours. Patient satisfection scores were higher in Group SA. CONCLUSION: We concluded that spinal anesthesia may be an alternative method to general anesthesia in patients who will undergo laparoscopic cholecystectomy operations especially when the risk of general anesthesia is too high. Istanbul Medeniyet University 2019 2019-12-26 /pmc/articles/PMC7433716/ /pubmed/32821460 http://dx.doi.org/10.5222/MMJ.2019.37929 Text en Copyright Istanbul Medeniyet University Faculty of Medicine. http://creativecommons.org/licenses/by-nc/4.0/ This journal is published by Logos Medical Publishing. Licenced by Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)
spellingShingle Original Study
Kisa, Alperen
Koruk, Senem
Kocoglu, Hasan
Leblebici, İhsan Metin
Comparison of General Anesthesia with Spinal Anesthesia in Laparoscopic Cholecystectomy Operations
title Comparison of General Anesthesia with Spinal Anesthesia in Laparoscopic Cholecystectomy Operations
title_full Comparison of General Anesthesia with Spinal Anesthesia in Laparoscopic Cholecystectomy Operations
title_fullStr Comparison of General Anesthesia with Spinal Anesthesia in Laparoscopic Cholecystectomy Operations
title_full_unstemmed Comparison of General Anesthesia with Spinal Anesthesia in Laparoscopic Cholecystectomy Operations
title_short Comparison of General Anesthesia with Spinal Anesthesia in Laparoscopic Cholecystectomy Operations
title_sort comparison of general anesthesia with spinal anesthesia in laparoscopic cholecystectomy operations
topic Original Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7433716/
https://www.ncbi.nlm.nih.gov/pubmed/32821460
http://dx.doi.org/10.5222/MMJ.2019.37929
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