Abstract No. : ABS2056: To compare time and intraoperative haemodynamic changes of spinal anaesthesia with general anaesthesia for laparoscopic cholecystectomy

BACKGROUND &AIMS: Laparoscopic cholecystectomy (LC) is conventionally performed under general anaesthesia (GA). As with any day care procedure, LC requires an anaesthetic technique which provides rapid recovery and fewer side effects. Neuraxial techniques resulted in decreased morbidity and mortality. Theaimofthestudywasto comparethe time and haemodynamic changes of spinal with GA. METHODS: Following approval by the institutional ethical committee, registering in CTRI (CTRI/2021/04/032586 ) and after taking patient consent ,a controlled ,prospective, randomised trial of 70 patients with symptomatic gallstone disease and American Society of Anesthesiologists status I or II were operated for LC under spinal (n=35) or GA (n=35)between the academic years 2020 and 2021. Statistical analysis was done using SPSS version 25.0. Time taken for both groups were compared. Haemodynamic parameters were recorded to find theincidence of hypotension and bradycardia. RESULTS: All the procedures were completed by the allocated method of anaesthesia and there were no conversions from spinal to GA. The incidences of hypotension(p=0.742) and bradycardia (P=0.163) were 17% and 11.4% in SA group and 14% and 2.8% in GA group respectively and no significant difference were observed. The total time taken in SA group was significantly less than in GA group; 38.9 9.64 versus 46.79.487 respectively (P=0.0011). CONCLUSION: LC done under spinal anaesthesia is safe and less time consuming. Spinal anaesthesia can berecommended as the technique of choice for LC in developing countries where time and cost can be saved.