Abstract

Background: Spinal anaesthesia serves as a substitute for general anaesthesia during cholecystectomy surgeries. Objective: This study was aimed to analyse and assess anesthesia effective during and after cholecystectomy surgery. Patients and methods: A cross-sectional study was conducted that involved 117 patients who underwent laparoscopic cholecystectomy with anesthesia techniques. To achieve the study’s purpose, clinical data were categorized into two groups: GA (50 cases) and SA (67 cases).  The study aimed to compare the hospital stay duration and pain levels before and after surgery measured by the VAS scale between the two groups. Results: Our clinical findings indicate that males were more likely to receive cholecystectomy to compare with women. Additionally, males exhibited a higher incidence of complications, longer surgical durations, and protracted hospital stays, representing 57.26% of cases compared to 42.74% for females.  The postoperative records documented patient complications, revealing that bleeding occurred in 5 cases, infection in 3 cases, and infection of the bile duct during general anaesthesia in 4 cases. On the other hand, bleeding occurred in 4 cases, infection in 1 case, and bile duct infection in 2 cases. Additionally, it was observed that spinal anaesthesia resulted in a shorter hospital stay and less postoperative analgesia requirements in comparison to general anaesthesia. Furthermore, the clinical findings demonstrated that pain levels were better managed in the cohort of patients receiving spinal anaesthesia during the initial three days following surgery in contrast to those given general anaesthesia. Conclusion: Spinal anaesthesia is regarded as the optimal form of anaesthesia or the most efficacious method for pain control during cholecystectomy surgery, both intraoperatively and postoperatively

Keywords

Cholecystectomy; Spinal anesthesia, General anesthesia