Vol. 5, Issue 1 (2019)
Comparision of spinal Anaesthesia vs General Anaesthesia for laparoscopic cholecystectomy: A Randomized study
Author(s): Dr. Sanjul Dandona, Dr. CMS Rawat
Abstract: Introduction: laparoscopic surgical techniques have been rapidly accepted by surgeons worldwide with published reports describing the benefits of less post-operative pain, decreased hospital stay and earlier return to work Aims and Objectives: The study was planned to assess comparative superiority of spinal anaesthesia with general anaesthesia for elective laparoscopic Cholecystectomy in healthy patients. Materials and Methods: The study was conducted in the department of anaesthesia, H.N.B. Base Teaching Hospital Srinagar Garhwal Uttarakhand, in which a total of 60 patients aged between 20-60 years of either sex with ASA Grade status I and II undergoing elective laparoscopic Cholecystectomy were selected. After taking consent from the ethical committee, they were divided into two groups Group A (n=30) received General Anaesthesia. Group B (n=30) received spinal Anaesthesia. Study Design: A randomized study. Exclusion Criteria: The patients with ASA grade III and IV high risk patients, all emergency procedures, bleeding disorders, acute cholecystitis, pancreatitis and acute cholangitis, previous open surgery in upper abdomen, contraindication for pneumoperitoneum, cardiovascular disorders, respiratory disorders, renal disease and liver disease, circulatory instability, and patients with known sensitivity to local anesthetics. 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<0.0001), 8 hours (P<0.0001), 12 hours (P<0.0001), and 24 hours (P=0.0001) after the procedure for the spinal anesthesia group, compared with those who received general anesthesia. There was no difference between the two groups regarding complications, hospital stay, recovery, or degree of satisfaction at follow-up. Conclusion: In our study we observed that in comparision to general anaesthesia, spinal anaesthesia provides better safety and adequacy in healthy patients and hence provides better post-operative pain control without limiting the recovery. Post-operative complications like nausea, vomiting, dizziness and pneumonia are less in spinal anaesthesia.