Assessment of Surgical and Perioperative Outcomes of Elective Laparoscopic Cholecystectomy Under Spinal Compared with General Anaesthesia: A Randomized Controlled Trial
Surgical and Perioperative Outcomes of Elective Laparoscopic Cholecystectomy
Abstract
Background: Laparoscopic cholecystectomy (LC) is the gold standard for symptomatic cholelithiasis. Conventionally done under general anaesthesia (GA) for safe airway control and pneumoperitoneum tolerance, GA can cause postoperative nausea, vomiting, and delayed bowel recovery. Spinal anaesthesia (SA) is emerging as a safe, feasible alternative that avoids airway instrumentation and offers better postoperative pain relief and faster recovery. This study aims to compare surgical parameters in elective LC under spinal versus general anaesthesia. Subjects and Methods: This prospective randomized study enrolled 106 patients equally divided into SA and GA groups. Surgical parameters, intraoperative events, postoperative complications, pain scores, bowel function, and patient and surgeon satisfaction were compared. Results: The SA group showed lower early pain scores, faster bowel recovery, less nausea and vomiting, and similar operative times. Minor hypotension and bradycardia were manageable; conversion to GA was rare. Conclusion: SA is safe, feasible, cost-effective, and suitable for selected LC cases.
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References
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