A Prospective Randomised Study To Evaluate The Feasibility And Safety of Laparoscopic Cholecystectomy Under Spinal Anaesthesia

ABSTRACT

Background: Laparoscopic cholecystectomy is the gold standard for the surgical treatment of symptomatic gall-stones The aim of this prospective randomized study was to compare the surgical outcome of LC performed with the patient under spinal anaesthesia with that of LC performed with the patient under general anaesthesia in the management of symptomatic uncomplicated gallstone disease. Methods: An Observational Descriptive Study was done on total 100 cases. Outcome Measures noted were a) Conversion rate of laparoscopic cholecystectomy under spinal anaesthesia to general anaesthesia, b) Hypotension and c) Bradycardia. Results: Spinal anaesthesia is a feasible, safe and effective alternative to general anaesthesia for laparoscopic cholecystectomy. Intraoperative hypotension, and bradycardia need to be addressed during laparoscopic cholecystectomy under spinal anaesthesia. Provided with good patient selection laparoscopic cholecystectomy under spinal anaesthesia can substitute that under general anaesthesia. Conclusion: Laparoscopic cholecystectomy under spinal anaesthesia is a better option for selected group of patients while anticipating fast track surgery or day care surgery