What is it about?
Laparoscopic cholecystectomy has proven to be a major advance in the treatment of patients with symptomatic gall bladder diseases. Several advantages from this procedure are minimal tissue trauma, reduction of postoperative pain, quicker recovery, shortening the hospital stay.
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Why is it important?
Pneumoperitoneum induces intraoperative cardiorespiratory changes. Arterial CO2 increases because of CO2 absorption from the pneumoperitoneum. Improved knowledge of pathophysiological changes in the patients allows for successful anesthetic management. Proper patient selection and preparation as well as adequate monitoring should be performed.
Perspectives
General anesthesia and controlled ventilation comprise the accepted anesthetic technique. Balanced anesthesia technique including inhalation agent, intravenous drug and muscle relaxant is commonly used. Intraoperative complications may arise due to physiologic changes associated with patient positioning and pneumoperitoneum. Multimodal analgesic regimen combining opioids, non-steroidal anti-inflammatory drugs, and local anesthetic infiltration is the most effective regimen for postoperative pain management.
Professor Somchai Amornyotin
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University
Read the Original
This page is a summary of: Anesthetic Management for Laparoscopic Cholecystectomy, April 2013, IntechOpen,
DOI: 10.5772/52742.
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