Polyp Clinical Trial
Official title:
Combined Spinal Epidural Anesthesia and General Anesthesia for Laparoscopic Cholecystectomy: a Prospective, Randomized Study
The aim of this study was to compare general anesthesia (GA) and combined (epidural and
spinal) anesthesia (CA) for laparoscopic cholecystectomy. General anesthesia is a gold
standard for laparoscopic cholecystectomy(LC). The use of combined anesthesia may offer
several advantages over general anesthesia.
Fifty patients will be randomly assigned to either the CA LC (25 patients) or GA LC (25
patients). All patients has symptomatic gall stone disease or polyp of gall bladder.
Intraoperative events related to combined anesthesia , postoperative complications, pain
score and duration of operation time will record.
Objective of study : The aim of this study was to compare general anesthesia (GA) and
combined (epidural and spinal) anesthesia (CA) for laparoscopic cholecystectomy. General
anesthesia is a gold standard for laparoscopic cholecystectomy(LC). The use of combined
anesthesia may offer several advantages over general anesthesia.
Material and methods : Fifty patients will be randomly assigned to either the CA LC (25
patients) or GA LC (25 patients). All patients has symptomatic gall stone disease or polyp
of gall bladder. Intraoperative events related to combined anesthesia : abdominal
discomfortable, shoulder pain, abdominal pain, nausea, anxiety, dermatomal level of sensory
blockade, respiratory depression. We compare between two group; shoulder pain, postoperative
complications, pain score, duration of operation time and length of hospital stay.
Fifty patients will select prospectively for LC, under low pressure (10 mm Hg)
pneumoperitoneum and under combined anesthesia and general anesthesia. Spinal anaesthesia
was performed at L1-L2 interspace using 2 ml of 0.5% (10 mg) hyperbaric Bupivacaine mixed
with 0.5ml (25 micrograms) of Fentanyl. Epidural catheter was inserted at L1- L2 interspace
too.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label
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