DOI: 10.36347/sjams.2019.v07i05.049

Pages: 1938-1942

Laparoscopic cholecystectomy is considered the "gold standard" for the surgical treatment of gallstone disease. A comparative clinical study was conducted in the department of Anesthesia, Pabna Medical College Hospital, Pabna, Bangladesh during the period from January 2018 to April 2019. The aim of our study was to compare between Spinal Anaesthesia and General Anaesthesia for laparoscopic cholecystectomy in healthy patients. A total of 80 patients aged between 18-65 years of both sex with ASA Grade status I and II undergoing elective laparoscopic Cholecystectomy were selected. After taking written informed consent from the study participants, we were elected 80 study subjects and divided into two groups ; Group I (n=40) received General Anaesthesia. And Group II (n=40) received spinal Anaesthesia. Male and female ratio was 1: 1.96. Study adopted an exclusion criteria which were 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, contraindications for pneumoperitoneum, cardiovascular disorders, respiratory disorders, renal disease and liver disease, circulatory instability, and patients with known sensitivity to local anesthetics. Pain was significantly less at 4 hours, 8 hours, 12 hours, and 24 hours after the procedure for the Spinal Anesthesia group, compared with those who received General Anesthesia. There was no statistical difference between the two groups regarding complications, hospital stay, recovery, or degree of satisfaction at follow-up. In the conclusion, we can say, Spinal Anaesthesia provides better safety and adequacy in healthy patients and provides better post-operative pain control without limiting the recovery than General Anaesthesia. Post-operative complications like nausea, vomiting, dizziness and pneumonia are less in Spinal Anaesthesia.