RETRACTED ARTICLE: Different anesthesia methods for laparoscopic cholecystectomy

Liu, X.; Wei, Chapman; Wang, Z.; Wang, H.

doi:10.1007/s00101-011-1863-6

Cited by 9 publications

(3 citation statements)

References 19 publications

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“…After looking at the abstracts, seventeen publications seemed to meet the inclusion criteria. For the remaining 17 articles, nine of them were excluded for the following reasons: unpublished studies, no available data on the outcome of interest in [ 15 – 17 ], non-English [ 14 ], retrospective study [ 18 ], and same data [ 19 , 20 ]. Finally, the remaining 8 studies [ 1 , 4 , 10 – 14 , 21 ] with existing data met our selection criteria and were included in the systematic review.…”

Section: Resultsmentioning

confidence: 99%

Comparison of Postoperative Events between Spinal Anesthesia and General Anesthesia in Laparoscopic Cholecystectomy: A Systemic Review and Meta-Analysis of Randomized Controlled Trials

Wang

Zhou

Pan

et al. 2016

BioMed Research International

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Background. Laparoscopic cholecystectomy is usually carried out under general anesthesia. There were a few studies which have found spinal anesthesia as a safe alternative. We aimed to evaluate the postoperative events between spinal anesthesia and general anesthesia in patients undergoing laparoscopic cholecystectomy. Methods. We searched PubMed, Embase, and Cochrane Library (from inception to January 2016) for eligible studies. The primary outcome was the visual analogue scale score. Secondary outcomes included postoperative nausea and vomiting and urine retention 24 hours postoperatively. We calculated pooled risk ratios and 95% confidence interval using random- or fixed-effects models. Results. Eight trials involving 723 patients were listed. Meta-analysis showed that patients in spinal anesthesia groups have lower visual analogue scale score 24 hours postoperatively. There were significant decreases in the occurrence of postoperative nausea and vomiting in spinal anesthesia group when compared with general anesthesia group (odds ratios: 0.38, 95% confidence interval: 0.19–0.76; P = 0.006) with heterogeneity accepted (I 2 = 13%; P = 0.33), while urine retention rate was increased in patients with spinal anesthesia (odds ratios: 4.95, 95% confidence interval: 1.24–19.71; P = 0.02) without any heterogeneity (I 2 = 0%; P = 0.98). Conclusions. Spinal anesthesia may be associated with less postoperative pain and postoperative nausea and vomiting compared with general anesthesia.

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Section: Resultsmentioning

confidence: 99%

Comparison of Postoperative Events between Spinal Anesthesia and General Anesthesia in Laparoscopic Cholecystectomy: A Systemic Review and Meta-Analysis of Randomized Controlled Trials

Wang

Zhou

Pan

et al. 2016

BioMed Research International

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“…The patient outcomes are similar to that observed if the surgery is done under general anaesthesia. This study did not include a cost analysis, but other studies[25] indicate that laparoscopic cholecystectomy under SA is more cost effective than under GA. This makes SA an attractive option as the anaesthesia of choice especially in developing countries.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic cholecystectomy under spinal anaesthesia: A prospective, randomised study

et al. 2013

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CONTEXT:Spinal anaesthesia has been reported as an alternative to general anaesthesia for performing laparoscopic cholecystectomy (LC).AIMS:Study aimed to evaluate efficacy, safety and cost benefit of conducting laparoscopic cholecystectomy under spinal anaesthesia (SA) in comparison to general anaesthesia(GA)SETTINGS AND DESIGN:A prospective, randomised study conducted over a two year period at an urban, non teaching hospital.MATERIALS AND METHODS:Patients meeting inclusion criteria e randomised into two groups. Group A and Group B received general and spinal anaesthesia by standardised techniques. Both groups underwent standard four port laparoscopic cholecystectomy. Mean anaesthesia time, pneumoperitoneum time and surgery time defined primary outcome measures. Intraoperative events and post operative pain score were secondary outcome measure.STATISTICAL ANALYSIS USED:The Student t test, Pearson′s chi-square test and Fisher exact test.RESULTS:Out of 235 cases enrolled in the study, 114 cases in Group A and 110 in Group B analysed. Mean anaesthesia time appeared to be more in the GA group (49.45 vs. 40.64, P = 0.02) while pneumoperitoneum time and corresponding the total surgery time was slightly longer in the SA group. 27/117 cases who received SA experienced intraoperative events, four significant enough to convert to GA. No postoperative complications noted in either group. Pain relief significantly more in SA group in immediate post operative period (06 and 12 hours) but same as GA group at time of discharge (24 hours). No late postoperative complication or readmission noted in either group.CONCLUSION:Laparoscopic cholecystectomy done under spinal anaesthesia as a routine anaesthesia of choice is feasible and safe. Spinal anaesthesia can be recommended to be the anaesthesia technique of choice for conducting laparoscopic cholecystectomy in hospital setups in developing countries where cost factor is a major factor.

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“…[1011] Although hypotension can be seen with both the techniques, the rapidity of fall and requirement of vasopressor support is more with spinal anesthesia,[1213] which may pose a major risk to fetus.…”

Section: Discussionmentioning

confidence: 99%

Cholecystectomy under segmental thoracic epidural block in a patient with twin gestation

et al. 2012

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Cholecystectomy represents the second most common surgery during pregnancy. Both general and regional anesthetic techniques have been successfully used for cholecystectomy in pregnant patients. Authors present here a case of a pregnant patient carrying twin gestation who underwent cholecystectomy, which is not frequently encountered by the anesthesiologists. This report enumerates the perioperative issues relating to anesthesia given to a pregnant patient in addition to emphasizing the importance of multidisciplinary approach when such a case is encountered.

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RETRACTED ARTICLE: Different anesthesia methods for laparoscopic cholecystectomy

Abstract: Laparoscopic cholecystectomy with low pressure pneumoperitoneum with CO(2) can be safely performed under spinal anesthesia. Spinal anesthesia was associated with an extremely low level of postoperative pain, better recovery and lower cost than general anesthesia.

Cited by 9 publications

References 19 publications

Comparison of Postoperative Events between Spinal Anesthesia and General Anesthesia in Laparoscopic Cholecystectomy: A Systemic Review and Meta-Analysis of Randomized Controlled Trials

Comparison of Postoperative Events between Spinal Anesthesia and General Anesthesia in Laparoscopic Cholecystectomy: A Systemic Review and Meta-Analysis of Randomized Controlled Trials

Laparoscopic cholecystectomy under spinal anaesthesia: A prospective, randomised study

Cholecystectomy under segmental thoracic epidural block in a patient with twin gestation

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