Clinical observation of general anesthesia combined with epidural anesthesia in laparoscopic resection for rectal cancer
10.3969/j.issn.1671-8348.2013.27.004
- VernacularTitle:全身麻醉复合硬膜外麻醉在腹腔镜直肠癌切除术中的临床观察
- Author:
Dadong QIAN
;
Xianlun SHI
;
Zhihai ZHAO
;
Miao GU
;
Wenjing YIN
- Publication Type:Journal Article
- Keywords:
anesthetics,general;
anesthesia,epidural;
rectal neoplasms
- From:
Chongqing Medicine
2013;(27):3217-3218
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the impact of different anesthesia methods on intraoperative and postoperative patients un-dergoing laparoscopic rectal cancer surgery and to explore the ideal anesthetic method for laparoscopic rectal cancer surgery .Meth-ods 40 cases of laparoscopic resection for rectal cancer ,ASAⅠ-Ⅱ grade ,were selected and randomly divided into two groups .The group A (20 cases) was performed general anesthesia combined with epidural anesthesia and the B group (20 cases) was performed systemic anesthesia .The intraoperative hemodynamics ,respiratory function ,awaking time and awaking quality evaluation were ob-served .Results The airway pressure(Paw ) and PETCO2 in the two groups were increased .The intraoperative hemodynamics in the group A was more stable than those in the group B .The awaking time and awaking quality in the group A were superior to those in the B group .Conclusion Compared with simple general anesthesia ,general anesthesia combined with epidural anesthesia for laparo-scopic rectal cancer surgery has more stable vital signs and better awaking quality ,whoich is an ideal anesthetic method for laparo-scopic rectal cancer surgery .