Laparoscopic cholecystectomy under epidural anesthesia: a clinical feasibility study

• Main Authors: Ji Hyun Lee, Jin Huh, Duk Kyung Kim, Jea Ryoung Gil, Sung Won Min, Sun Sook Han
• Format: Article
• Language: English
• Published: Korean Society of Anesthesiologists 2010-12-01
• Series: Korean Journal of Anesthesiology
• Subjects: epidural anesthesia; laparoscopic cholecystectomy; referred pain
• Online Access: http://ekja.org/upload/pdf/kjae-59-383.pdf

BackgroundLaparoscopic cholecystectomy (LC) has traditionally been performed under general anesthesia, however, owing in part to the advancement of surgical and anesthetic techniques, many laparoscopic cholecystectomies have been successfully performed under the spinal anesthetic technique. We hoped to determine the feasibility of segmental epidural anesthesia for LC.MethodsTwelve American Society of Anesthesiologists class I or II patients received an epidural block for LC. The level of epidural block and the satisfaction score of patients and the surgeon were checked to evaluate the efficacy of epidural block for LC.ResultsLC was performed successfully under epidural block, with the exception of 1 patient who required a conversion to general anesthesia owing to severe referred pain. There were no special postoperative complications, with the exception of one case of urinary retention.ConclusionsEpidural anesthesia might be applicable for LC. However, the incidence of intraoperative referred shoulder pain is high, and so careful patient recruitment and management of shoulder pain should be considered.