OBJECTIVE: To compare spinal anesthesia with the gold standard general anesthesia for elective laparoscopic cholecystectomy in healthy patients. DESIGN: Controlled randomized trial. SETTING:University hospital. PATIENTS: One hundred patients with symptomatic gallstone disease and American Society of Anesthesiologists status I or II were randomized to havelaparoscopic cholecystectomy under spinal (n = 50) or general (n = 50) anesthesia. METHODS:Intraoperative parameters, postoperative pain, complications, recovery, and patient satisfaction at follow-up were compared between the 2 groups. RESULTS: All the procedures were completed by the allocated method of anesthesia, as there were no conversions from spinal to general anesthesia. Pain was significantly less at 4 hours (P < .001), 8 hours (P < .001), 12 hours (P < .001), and 24 hours (P = .02) after the procedure for the spinal anesthesia group compared with those who received general anesthesia. There was no difference between the 2 groups regarding complications, hospital stay, recovery, or degree of satisfaction at follow-up. CONCLUSIONS:Spinal anesthesia is adequate and safe for laparoscopic cholecystectomy in otherwise healthy patients and offers better postoperative pain control than general anesthesia without limiting recovery.
RCT Entities:
OBJECTIVE: To compare spinal anesthesia with the gold standard general anesthesia for elective laparoscopic cholecystectomy in healthy patients. DESIGN: Controlled randomized trial. SETTING: University hospital. PATIENTS: One hundred patients with symptomatic gallstone disease and American Society of Anesthesiologists status I or II were randomized to have laparoscopic cholecystectomy under spinal (n = 50) or general (n = 50) anesthesia. METHODS: Intraoperative parameters, postoperative pain, complications, recovery, and patient satisfaction at follow-up were compared between the 2 groups. RESULTS: All the procedures were completed by the allocated method of anesthesia, as there were no conversions from spinal to general anesthesia. Pain was significantly less at 4 hours (P < .001), 8 hours (P < .001), 12 hours (P < .001), and 24 hours (P = .02) after the procedure for the spinal anesthesia group compared with those who received general anesthesia. There was no difference between the 2 groups regarding complications, hospital stay, recovery, or degree of satisfaction at follow-up. CONCLUSIONS: Spinal anesthesia is adequate and safe for laparoscopic cholecystectomy in otherwise healthy patients and offers better postoperative pain control than general anesthesia without limiting recovery.
Authors: G Tzovaras; D Symeonidis; G Koukoulis; I Baloyiannis; S Georgopoulou; C Pratsas; D Zacharoulis Journal: Hernia Date: 2012-06-24 Impact factor: 4.739
Authors: C Sarakatsianou; S Georgopoulou; G Tzovaras; K Perivoliotis; M-E Papadonta; I Baloyiannis Journal: Hernia Date: 2019-01-02 Impact factor: 4.739