Laparoscopic Cholecystectomy: A Comparison between Spinal Anaesthesia and General Anaesthesia (original) (raw)
2021, Scholars journal of applied medical sciences
Original Research Article Introduction: Laparoscopic cholecystectomy is the treatment of choice for the surgical removal of diseased gall bladder. It is a negligibly invasive procedure with a considerably shorter hospital stay and an earlier recovery compared with the classical open cholecystectomy. Anesthetic agents offer an alternative to general anesthesia for short-duration surgical procedures, especially ambulatory surgeries. Objectives: The aim of the study was to compare the effectiveness of spinal anaesthesia with that of general anaesthesia in Laparoscopic Cholecystectomy operation in healthy patient. Methods: This comparative clinical study was conducted in the Department of Anesthesia, Rajshahi Medical College Hospital, Rajshahi, Bangladesh during the period from January 2020 to December 2020. A total of 60 patients aged between 18-65 years of both sex with ASA Grade status I and II undergoing elective laparoscopic Cholecystectomy were randomly selected for the study and the patients were divided into two groups; Group I(n=30) received general anaesthesia and Group II(n=30) received spinal anaesthesia. Intraoperative parameters, postoperative pain, complications, recovery and cost were compared between both groups. Statistical analysis of the results was obtained by using window-based computer software devised with Statistical Packages for Social Sciences (SPSS-22). Results: Majority patients were male and mean age was 36.67 in Group I, 34.58 in Group II. Mean Pulse Rate (MPR) of Group I was 86 in pre-operative, 98 before insufflation, and 114 after insufflation. Highest comparison of the mean pulse rate 115 belongs to Group I and lowest mean pulse rate 94 belong to Group II after insufflation. Lowest 122 systolic blood pressure (mean) in Group II and highest 135 systolic blood pressure (mean) in Group I also after insufflation. On the other hand, Perioperative comparison of SpO 2 was lowest 95% and highest 98% of Group I and Group II respectively after 4 hours. Conclusion: Laparoscopic cholecystectomy can be safely performed under spinal anaesthesia. Spinal anaesthesia was associated with an extremely low level of postoperative pain, better recovery and lower cost than general anaesthesia. Postoperative complications like nausea, vomiting and dizziness were also less in spinal anaesthesia.
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