Full Text (PDF)
Original Article

To Compare Isobaric Thoracic Spinal Anesthesia Versus General Anesthesia in Laparascopy Cholecystectomy

Saraswathi N, Namratha Chandra, Sumaiya Sabreen, Mohsina Yasmeen, Ashwini Lonimath

Author Information

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Indian Journal of Anesthesia and Analgesia 10(1):p 99-104, January-March 2023. | DOI: https://doi.org/10.21088/ijaa.2349.8471.10123.2

How Cite This Article:

Nivedika Kumbhare, Anuj Dubey, Chandra Sekhar Mishra, Vinay Yadav, et al./To Compare isobaric Thoracic Spinal Anaesthesia Versus General Anaesthesia in Laparascopy Cholecystectomy/Indian J Anesth Analg. 2023;10(1)15-20.

Timeline

Received : February 06, 2023         Accepted : March 18, 2023          Published : April 09, 2023

Abstract

The laparoscopic cholecystectomy procedure is typically carried out undergeneral anesthesia, but regional techniques, such as low thoracic isobaric spinal anesthesia,have been used to manage patients with significant medical problem like coexisting systemicdisease, who are deemed to be high risk in general anesthesia. Segmental spinal anesthesia has great outcomes in terms of post-operative discomfort, the need for analgesics, relatively fewer complications, and shorter hospital stays. Thus the aim of this study to avoid and minimize the risk of general anesthesia who does not have any significant comorbidity. So it might be a substitute for a standard laparoscopic cholecystectom.


References

  • 1.   Hamad MA, El-Khattary OA. Laparoscopic cholecystectomy under spinal anesthesia with nitrous oxide pneumo-peritoneum: A feasibility study. Surg Endosc. 2003;17(9):1426–8.
  • 2.   Segmental spinal anesthesia for cholecystectomy in patient with severe lung disease. Br J Anaesth. 2006;96(4):464–6.
  • 3.   Paliwal NW, Ingle J, Lawhale S, Dhakulkar A. Segmental spinal vs general anesthesia in patients undergoing laparoscopic cholecystectomy: A comparative study. MedPulse Int J Anesthesiol. 2020 Jun;14(3):77–83.
  • 4.   Hansen G, Diablos PA, Steinert R. Pulmonary complications, ventilation and blood gases after upper abdominal surgery. Acta Anaesthesiol Scand. 1977;21(3):211–5.
  • 5.   Alkhamesi NA, Peck DH, Lomax D, Darzi AW. Intraperitoneal aerosolization of bupivacaine reduces postoperative pain in laparoscopic surgery: A randomized prospective controlled double-blinded clinical trial. Surg Endosc. 2007;21(4):602–6.
  • 6.   Gramatica L Jr, Brasesco OE, Mercado Luna A, D'Agostino F, Facetti M, Ferraro G. Laparoscopic cholecystectomy performed under regional anesthesia in patients with obstructive pulmonary disease. Surg Endosc. 2002;16(3):472–5.
  • 7.   Luchetti M, Palomba R, Sica G, Massa G, Tufano R. Effectiveness and safety of combined epidural and general anesthesia for laparoscopic cholecystectomy. Reg Anesth. 1996 Sep-Oct;21(5):465–9.
  • 8.   Longo MA, Cavalheiro BT, de Oliveira Filho GR. Laparoscopic cholecystectomy under neuraxial anesthesia compared with general anesthesia: Systematic review and meta-analyses. J Clin Anesth. 2017 Sep;41:48–54.
  • 9.   Sinha R, Gurwara AK, Gupta SC. Laparoscopic surgery using spinal anesthesia. JSLS. 2008;12(2):133–8.
  • 10.   Paradis B. Segmental spinal anesthesia. Treat Serv Bull. 1948 Jul-Aug;3(7):41–5.
  • 11.   Van Zundert AAJ, Stultiens G, Jakimowicz JJ, Peek D, Van der Ham WG, Korsten HH, Wildsmith JA. Segmental spinal anesthesia for cholecystectomy in a patient with severe lung disease. Br J Anaesth. 2006;96(4):464–6.
  • 12.   Belzarena SD. Comparative Study between thoracic epidural block and general anesthesia for oncologic mastectomy. Rev Bras Anestesiol. 2008;58(6):561–8.
  • 13.   Yousef GT, Lasheen AE. General anesthesia versus segmental thoracic or conventional lumbar spinal anesthesia for patients undergoing laparoscopic cholecystectomy [retracted in: Anesth Essays Res. 2013 Sep-Dec;7(3):293]. Anesth Essays Res. 2012;6(2):167–73.
  • 14.   Imbelloni LE. Spinal anesthesia for laparoscopic cholecystectomy: Thoracic vs. Lumbar Technique. Saudi J Anaesth. 2014 Oct;8(4):477–83.
  • 15.   Kour L, Katoch ML. Comparison of levobupivacaine vs bupivacaine in thoracic spinal anesthesia for laparoscopic cholecystectomies. Int J Res Med Sci. 2019;7(12):4568–72.
  • 16.   Van Zundert AA, Stultiens G, Jakimowicz JJ, Peek D, Van der Ham WG, Korsten HH, Wildsmith JA. Laparoscopic cholecystectomy under segmental thoracic spinal anesthesia: a feasibility study. Br J Anaesth. 2007 May;98(5):682–6.
  • 17.   Boddy AP, Mehta S, Rhodes M. The effect of intraperitoneal local anesthesia in laparoscopic cholecystectomy: a systematic review and meta analysis. Anesth Analg. 2006 Sep;103(3):682–8.
  • 18.   Ellakany M. Comparative study between general and thoracic spinal anesthesia for laparoscopic cholecystectomy. Egypt J Anaesth. 2013;29(4):375–81.

Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

Whether all authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

The authors report no conflicts of interest in this work.


About this article


Cite this article

Nivedika Kumbhare, Anuj Dubey, Chandra Sekhar Mishra, Vinay Yadav, et al./To Compare isobaric Thoracic Spinal Anaesthesia Versus General Anaesthesia in Laparascopy Cholecystectomy/Indian J Anesth Analg. 2023;10(1)15-20.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Received Accepted Published
February 06, 2023 March 18, 2023 April 09, 2023

DOI: https://doi.org/10.21088/ijaa.2349.8471.10123.2

Keywords

Low Thoracic Isobaric Spinal AnesthesiaLaparascopic CholecystectomyHealthy Individuals

Article Level Metrics

Last Updated

Tuesday 14 July 2026, 12:10:56 (IST)


5693

Accesses

19
679
00

Citations


NA
NA
NA

Download citation


Article Keywords


Keyword Highlighting

Highlight selected keywords in the article text.


Timeline


Received February 06, 2023
Accepted March 18, 2023
Published April 09, 2023

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Access this article



Share