Spinal vs General Anesthesia for Laparoscopic Cholecystectomy

Tzovaras, George; Fafoulakis, Frank; Pratsas, K.; Georgopoulou, Stavroula; Stamatiou, Georgia; Hatzitheofilou, C

doi:10.1001/archsurg.143.5.497

Cited by 88 publications

(106 citation statements)

References 13 publications

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“…Bu çalışmada KSEA ve SA'nın LK, LA ve laparoskopik TEP inguinal herni tamirini içeren laparoskopik cerrahi girişimler için uygun ve güvenli bir anestezi tekniği olduğunu ve genel anesteziye bir alternatif olabileceğini gösterdik. Elde ettiğimiz bu sonuçlar önceki çalışmaların sonuçlarını güçlendirmektedir (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18).…”

Section: Discussionunclassified

“…Bu bulgular rejyonal anestezinin genel anesteziye göre daha iyi postoperatif ağrı kontrolü sağladığı ve daha az analjezik ihtiyacı olduğunu gösteren çalışmaları desteklemektedir (7,10,18).…”

Section: Discussionunclassified

“…Bu abdominal ağrı/rahatsızlık LK ve LA'da intraperitoneal karbondioksit gaz insüflasyonu ve LA'da ayrıca hastaya baş aşağı pozisyon verilmesine bağlı olarak meydana gelen intraabdominal basınç artışının bir sonucudur (10,16,22). Buna karşın laparoskopik TEP inguinal herni tamirinde karbondioksit gaz insüflasyonunun peritoneal boşluğa değil ekstraperioneal alana yapılması nedeniyle hiçbir hastada abdominal rahatsızlık/ağrı şikayeti gözlemlemedik.…”

Section: Discussionunclassified

“…Bunun nedeni uyanık hastalarda, aspirasyonun ve girişim sırasında uyanık hastalar tarafından tolere edilemeyeceği düşünülen pnömoperitoneuma sekonder solunumsal ve abdominal rahatsızlık hissi ve omuz ağrısının önlenmesi veya yetersiz kas gevşemesi olabilir (7)(8)(9)(10). Rejyonal anestezi altında gerçekleştirilen ilk laparoskopik cerrahi girişimler genel anestezinin riskli olduğu hastalarla sınırlıydı (11)(12)(13).…”

Section: Introductionunclassified

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Laparoscopic Abdominal Surgery Under Regional Anesthesia: A Retrospective Evaluation

Uzman¹,

Dönmez²

2017

Haseki

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Section: Discussionunclassified

Section: Introductionunclassified

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Laparoscopic Abdominal Surgery Under Regional Anesthesia: A Retrospective Evaluation

Uzman¹,

Dönmez²

2017

Haseki

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“…Complications such as nausea and vomiting are encountered less in spinal anesthesia resulting in increased patient comfort (5,18,20). The use of N 2 O, decreased gastric emptying time may contribute to increased incidents of nausea and vomiting in general anesthesia (11).…”

Section: Discussionmentioning

confidence: 99%

Comparison of patient satisfaction and cost in spinal and general anesthesia for lumbar disc surgery

Vural¹,

Yörükoğlu²

2013

Turkish Neurosurgery

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AIm:The aim of this study was to evaluate patient satisfaction and cost in spinal and general anesthesia for lumbar disc surgery. mATERIAL and mETHods:The study was performed on 66 ASA class I-II patients with one level lumbar disc herniation (LDH). In this prospective study, patients were assigned randomly to either spinal anesthesia or general anesthesia groups. Hemodynamic variables, intraoperative opioid requirements, postoperative pain scores and analgesic requirements and complications were recorded. Patients were handed a questionnaire about the procedure they underwent to determine patient satisfaction. The costs of preoperative and postoperative anesthesia procedures, medications, and hospitalization were calculated individually. REsuLTs:Spinal anesthesia and general anesthesia were similar concerning hemodynamic stability, first urination time, first mobilization time, postoperative analgesic requirement, and pain. Patients in group S needed less additional dose of fentanyl intraoperatively than the patients in group G. Patient satisfaction was significantly higher in Group S when compared to Group G. Total cost was higher in Group G compared to Group S. CoNCLusIoN:We conclude that successful LDH surgery can be performed using either anesthesia type. As long as patients are selected carefully, spinal anesthesia is a safe, comfortable, and a more economical alternative.

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Scientific surgery

2008

British Journal of Surgery

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Spinal vs General Anesthesia for Laparoscopic Cholecystectomy

Cited by 88 publications

References 13 publications

Laparoscopic Abdominal Surgery Under Regional Anesthesia: A Retrospective Evaluation

Laparoscopic Abdominal Surgery Under Regional Anesthesia: A Retrospective Evaluation

Comparison of patient satisfaction and cost in spinal and general anesthesia for lumbar disc surgery

Scientific surgery

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