DOI: 10.36347/sjams.2021.v09i08.010

Pages: 1295-1300

Introduction: Laparoscopic cholecystectomy is the treatment of choice for the surgical removal of diseased gall bladder. It is a negligibly invasive procedure with a considerably shorter hospital stay and an earlier recovery compared with the classical open cholecystectomy. Anesthetic agents offer an alternative to general anesthesia for short-duration surgical procedures, especially ambulatory surgeries. Objectives: The aim of the study was to compare the effectiveness of spinal anaesthesia with that of general anaesthesia in Laparoscopic Cholecystectomy operation in healthy patient. Methods: This comparative clinical study was conducted in the Department of Anesthesia, Rajshahi Medical College Hospital, Rajshahi, Bangladesh during the period from January 2020 to December 2020. A total of 60 patients aged between 18-65 years of both sex with ASA Grade status I and II undergoing elective laparoscopic Cholecystectomy were randomly selected for the study and the patients were divided into two groups; Group I(n=30) received general anaesthesia and Group II(n=30) received spinal anaesthesia. Intraoperative parameters, postoperative pain, complications, recovery and cost were compared between both groups. Statistical analysis of the results was obtained by using window-based computer software devised with Statistical Packages for Social Sciences (SPSS-22). Results: Majority patients were male and mean age was 36.67 in Group I, 34.58 in Group II. Mean Pulse Rate (MPR) of Group I was 86 in pre-operative, 98 before insufflation, and 114 after insufflation. Highest comparison of the mean pulse rate 115 belongs to Group I and lowest mean pulse rate 94 belong to Group II after insufflation. Lowest 122 systolic blood pressure (mean) in Group II and highest 135 systolic blood pressure (mean) in Group I also after insufflation. On the other hand, Perioperative comparison of SpO2 was lowest 95% and highest 98% of Group I and Group II respectively after 4 hours. ...................