Regional Anesthesia for Laparoscopic Surgery: a Narrative Review

Overview

Journal J Anesth

Specialty Anesthesiology

Date 2013 Nov 8

PMID 24197290

Citations 10

Authors

George Vretzakis

Metaxia Bareka

Diamanto Aretha

Menelaos Karanikolas

Affiliations

Soon will be listed here.

Abstract

Laparoscopic surgery has advanced remarkably in recent years, resulting in reduced morbidity and shorter hospital stay compared with open surgery. Despite challenges from the expanding array of laparoscopic procedures performed with the use of pneumoperitoneum on increasingly sick patients, anesthesia has remained largely unchanged. At present, most laparoscopic operations are usually performed under general anesthesia, except for patients deemed "too sick" for general anesthesia. Recently, however, several large, retrospective studies questioned the widely held belief that general anesthesia is the best anesthetic method for laparoscopic surgery and suggested that regional anesthesia could also be a reasonable choice in certain settings. This narrative review is an attempt to critically summarize current evidence on regional anesthesia for laparoscopic surgery. Because most available data come from large, retrospective studies, large, rigorous, prospective clinical trials comparing regional vs. general anesthesia are needed to evaluate the true value of regional anesthesia in laparoscopic surgery.

Citing Articles

Anaesthetic Management and Physiologic Effects of Pneumoperitoneum in Patients With Chronic Obstructive Pulmonary Disease Undergoing Laparoscopic Cholecystectomy.

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Total laparoscopic hysterectomy and bilateral salpingo-oophrectomy for stage 1 endometrial carcinoma under regional anaesthesia.

Fayyad A, Said M, Hasan M, Saleh M Gynecol Oncol Rep. 2023; 48:101222.

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Availability of laparoscopic surgery in Mexico's public health system: a nationwide retrospective analysis.

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Underused approach: subarachnoid block for a laparoscopic cholecystectomy? A case report and discussion of anaesthetic and surgical considerations.

Gan S, Rajbhoj A, Thiruvenkatarajan V, Trochsler M BMJ Case Rep. 2021; 14(8).

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Do Small Incisions Need Only Minimal Anesthesia?-Anesthetic Management in Laparoscopic and Robotic Surgery.

Hottenrott S, Schlesinger T, Helmer P, Meybohm P, Alkatout I, Kranke P J Clin Med. 2020; 9(12).

PMID: 33334057 PMC: 7765538. DOI: 10.3390/jcm9124058.

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