Epidural versus general anesthesia for laparoscopic cholecystectomy:A randomized controlled study of 500 cases
- VernacularTitle:腹腔镜胆囊切除术的硬膜外和全身麻醉比较(500例随机对照研究)
- Author:
Minghui CAO
;
Yajin CHEN
;
Shuling PENG
- Publication Type:Journal Article
- Keywords:
Epidural anesthesia;
Laparoscopic cholecystectomy;
General anesthesia
- From:
Chinese Journal of Minimally Invasive Surgery
2001;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effects between epidural and general anesthesia for laparoscopic cholecystectomy. Methods A total of 500 cases scheduled for laparoscopic cholecystectomy (LC) were randomly divided into the epidural anesthesia group (Group E, n=250) and the general anesthesia group (Group G, n=250). Results (1) Hemodynamic parameters: in both groups the cardiac output (CO) decreased significantly after CO 2 pneumoperitoneum ( P 0 05), without significant differences between the two groups; the central venous pressure (CVP) was transiently elevated after pneumoperitoneum ( P 0 05), with significant differences between the two groups ( P 0 05), without significant differences between the two groups. (2) Ventilative parameters: the mean airway pressure (P AWM ) and the peak airway pressure (P peak ) were remarkably elevated during the course of pneumoperitoneum in the Group G ( P
