Reduced postoperative hospitalization after laparoscopic cholecystectomy

Grace, P. A.; Quereshi, A.; Coleman, JoAnn; Keane, R. M.; McEntee, Gerry; Broe, Patrick J.; Osborne, H.; Bouchier‐Hayes, David

doi:10.1002/bjs.1800780209

Cited by 257 publications

(57 citation statements)

References 7 publications

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“…Laparoscopic cholecystectomy has beneficial effects compared to laparotomy such as a reduced hospitalization period, cost, and use of analgesic with improved lung capacity and arterial oxygen tension [1,2]. Nevertheless, the degree of pain on the first and second day after surgery is no different to laparotomy so the use of an effective analgesic is required [1,3].…”

Section: Introductionmentioning

confidence: 99%

Analgesic effect of preoperative versus intraoperative dexamethasone after laparoscopic cholecystectomy with multimodal analgesia

Lim

Jang

Kim

et al. 2011

Korean J Anesthesiol

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BackgroundPain after laparoscopy is multifactorial and different treatments have been proposed to provide pain relief. Multimodal analgesia is now recommended to prevent and treat post-laparoscopy pain. Dexamethasone is effective in reducing postoperative pain. The timing of steroid administration seems to be important. We evaluated the analgesic efficacy of preoperative intravenous dexamethasone 1 hour before versus during laparoscopic cholecystectomy with multimodal analgesia.MethodsOne hundred twenty patients aged 20 to 65 years old were allocated randomly into one of three groups (n = 40, in each). The patients in the group N received normal saline 1 hour before induction and after the resection of gall bladder. The patients in the group S1 received dexamethasone 8 mg 1 hour before induction and normal saline after the resection of gall bladder. The patients in the group S2 received normal saline 1 hour before induction and dexamethasone 8 mg after the resection of gall bladder.ResultsVAS scores of group S1 and S2 were lower than that of group N during 48 hours after laparoscopic cholecystectomy. There were no significant differences of VAS scores between the group S1 and the group S2. The analgesic consumption of group S1 and S2 were significantly lower than that of group N.ConclusionsA single dose of dexamethasone (8 mg) intravenously given 1 hour before induction or during operation was effective in reducing postoperative pain after laparoscopic cholecystectomy with multimodal analgesia. The analgesic efficacy of preoperative intravenous dexamethasone 1 hour before versus during surgery was not significantly different.

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Section: Introductionmentioning

confidence: 99%

Analgesic effect of preoperative versus intraoperative dexamethasone after laparoscopic cholecystectomy with multimodal analgesia

Lim

Jang

Kim

et al. 2011

Korean J Anesthesiol

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“…Key words laparoscopic cholecystectomy · mini-laparotomy · cholecystolithiasis den Arbeitsplatz [4] und -nicht zuletzt -ein besseres kosmetisches Ergebnis. Postoperative Adhäsionen sind beim laparoskopischen Vorgehen ebenfalls geringer [7].…”

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Die Mini-Lap-Cholezystektomie im Zeitalter der Laparoskopie - Ist die Cholezystektomie über eine Minilaparotomie eine Alternative zur laparoskopischen Cholezystektomie? -

Nestler¹,

Koch²,

Marusch³

et al. 2002

Viszeralchirurgie

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EinleitungDie laparoskopische Cholezystektomie stellt derzeit Goldstandard zur Therapie der unkomplizierten symptomatischen Cholezystolithiasis dar. In den Industrienationen hat mithin eine rasche flächendeckende Ausbreitung des Verfahrens stattgefun-den. Gründe hierfür sind das im Vergleich zur konventionellen Operation geringere Zugangstrauma mit verringerter Alteration des Immunsystems [1, 2], geringere postoperative Schmerzen [3,17], weniger beeinträchtigte Lungenfunktion durch den Eingriff [18], die verkürzte Rekonvaleszenzdauer mit rascherer postoperativer Krankenhausentlassung und früherer Rückkehr an

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“…The number of cases continue to increase because of its clinical advantages in decreasing perioperative complications, postoperative pain and postoperative hospitalization compared to the conventional open technique [1]. Pneumoperitoneum with carbon dioxide (CO 2 ) insufflation for visual fields can decrease thoracic and pulmonary compliances, atelectasis, pulmonary hypertension and hypercapnia due to increased abdominal pressure [2].…”

Section: Introductionmentioning

confidence: 99%

The effect of nitroglycerin on hemodynamic changes during laparoscopic low anterior resection

Moon

Lee

Choi

et al. 2011

Korean J Anesthesiol

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BackgroundMore laparoscopic low anterior resections (LAR) are being performed in recent years. There has been controversy around the hemodynamic changes affected by the Trendelenburg position and pneumoperitoneum during LAR. The goal of this study was to analyze the effect of nitroglycerin (NTG) on hemodynamic changes during LAR.MethodsForty ASA physical status I-II patients undergoing LAR were randomized into two groups: the NTG infused group (N group, n = 20) and the control group (C group, n = 20). Anesthesia was maintained with sevoflurane at 1-3 vol%, air/oxygen (50%/50%) and continuous infusion with remifentanil. The N group patients were given 0.5 µg/kg/min of NTG during anesthesia. Mean arterial pressure (MAP), heart rate (HR), central venous pressure (CVP), cardiac index (CI), stroke volume (SV) and systemic vascular resistance (SVR) were assessed 10 min after induction (T1), 5 min after pneumoperitoneum in the supine position (T2), 10 min after pneumoperitoneum in the Trendelenburg position (T3), 30 min after pneumoperitoneum in the Trendelenburg position (T4), 1 hr after pneumoperitoneum in the Trendelenburg position (T5) in addition to 5 (T6), 10 (T7) and 30 min (T8) after removal of the pneumoperitoneum in the supine position.ResultsThe increases of MAP were milder in the N group (22.6-7.3%) than the C group (32.3-17.7%) during pneumoperitoneum and while in the Trendelenburg position. The significant decreases of HR were maintained in the C group, but the changes in HR were not significant in N group during the operation. The increases in CVP were less in N group than C group. The increases of SVR were milder in N group (19.4-1.4%) than C group (41.7-16.6%) during pneumoperitoneum in the Trendelenburg position.ConclusionsIntraoperative NTG infusions were effective to some degree in reducing the hemodynamic changes during pneumoperitoneum with Trendelenburg positioning for LAR.

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Reduced postoperative hospitalization after laparoscopic cholecystectomy

Cited by 257 publications

References 7 publications

Analgesic effect of preoperative versus intraoperative dexamethasone after laparoscopic cholecystectomy with multimodal analgesia

Analgesic effect of preoperative versus intraoperative dexamethasone after laparoscopic cholecystectomy with multimodal analgesia

Die Mini-Lap-Cholezystektomie im Zeitalter der Laparoskopie - Ist die Cholezystektomie über eine Minilaparotomie eine Alternative zur laparoskopischen Cholezystektomie? -

The effect of nitroglycerin on hemodynamic changes during laparoscopic low anterior resection

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