Nikhil Gupta, Rachan Kathpal, Dr, Arun K Gupta, Dr, Dipankar Naskar, Dr, C K Durga, Dr. PGIMER Dr RML Hospital, Delhi
Introduction: Cholecystectomy have shown some advantages when done under spinal anaesthesia (SA) and associated with less intra operative and post -operative morbidity and mortality. Laparoscopic cholecystectomy (LC) under regional anaesthesia alone included patients with coexisting pulmonary disease, who are deemed high risk for GA.The aim of the present study is to assess the efficacy and safety of laparoscopic cholecystectomy under SA.
Materials: This prospective, interventional study was conducted on 60 patients with chronic calculous cholecystitis attending General surgery out- patient department of our institution.
Results: In our study, intraoperative complications recorded were hypotension, bradycardia, intra op shoulder tip pain, bleeding from the liver bed, bile spillage, post-op pain and vomiting. 10% patients had intraoperative pain, 5% had shoulder tip pain, 3.3% had bradycardia, 3.3% had hypotension, 1.7% had bile spillage and 1.7% had bleeding
Conclusion: Laparoscopic cholecystectomy under spinal anaesthesia should be promoted more even in developing countries but we need to establish well evaluated safety guidelines that could be followed faithfully for minimizing the risk of complication.
Key words: LC-laparoscopic cholecystectomy, GA- general anaesthesia, SA- spinal anaesthesia
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 84733
Program Number: P360
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster