North American Journal of Medical Sciences

ORIGINAL ARTICLE
Year
: 2014  |  Volume : 6  |  Issue : 11  |  Page : 566--569

Laparoscopic cholecystectomy under epidural anesthesia: A feasibility study


Ranendra Hajong, Peter Daniel S Khariong, Arup J Baruah, Madhur Anand, Donkupar Khongwar 
 Department of Surgery, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India

Correspondence Address:
Ranendra Hajong
Associate Professor, Surgery, Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong - 793 018, Meghalaya
India

Background: Laparoscopic cholecystectomy (LC) is normally performed under general anesthesia. But of late this operation has been tried under regional anesthesia successfully without any added complications like epidural anesthesia. Aims: The aim of the study was to study the feasibility of performing LC under epidural anesthesia in normal patients so that the benefits could be extended to those high-risk patients having symptomatic gallstone disease and compromised cardio-pulmonary status where general anesthesia is contraindicated. Materials and Methods: In all, 20 patients with the American Society of Anesthesiologist«SQ»s class I or II were enrolled in the study. The level of epidural block and satisfaction score, both for the patient and the surgeon, were noted in the study. Results: The LC was performed successfully under epidural anesthesia in all but two patients who had severe shoulder pain in spite of giving adequate analgesia and were converted to general anesthesia. Conclusions: The LC can be performed safely under epidural anesthesia with understanding between patient and surgeon. However, careful assessment of complications in the patients should be done to make the procedure safer.


How to cite this article:
Hajong R, Khariong PS, Baruah AJ, Anand M, Khongwar D. Laparoscopic cholecystectomy under epidural anesthesia: A feasibility study.North Am J Med Sci 2014;6:566-569


How to cite this URL:
Hajong R, Khariong PS, Baruah AJ, Anand M, Khongwar D. Laparoscopic cholecystectomy under epidural anesthesia: A feasibility study. North Am J Med Sci [serial online] 2014 [cited 2021 Sep 19 ];6:566-569
Available from: https://www.najms.org/article.asp?issn=1947-2714;year=2014;volume=6;issue=11;spage=566;epage=569;aulast=Hajong;type=0