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REGIONAL ANESTHESIA IN LAPAROSCOPIC CHOLECYSTECTOMY. EXPERIENCE IN SOUTHEAST MEXICO.
Mercedes Amieva-Balmori, Federico B. Roesch Dietlen^*, Julio Roberto Ballinas-Bustamante, Alfonso Gerardo Pérez-Morales, Jaime Anastasio Gómez-Delgado, Sylvia Martínez-Fernández, Yolopsi de Jesús Sanchez-Maza, Fernando Diaz-Roesch, Jose M. Remes Troche
Fisiologia Digestiva, Instituto de Investigaciones Medico Biologicas, Veracruz, Mexico
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Introduction: Regional anesthesia is a valuable resource in abdominal surgery with enormous advantages over general anesthesia, recently has been employed in cholecystectomy and there are only few reports in the literature. Objective: To evaluate the experience of two hospitals in southeastern Mexico with the use of spinal anesthesia in laparoscopic cholecystectomy in a period of 14 years. Methods: Spinal anesthesia was applied to 1,762 patients who underwent laparoscopic cholecystectomy. Variables analyzed: Anthropometric characteristics, risk factors, adverse effects, anesthetic/surgical time, complications and hospital stay. Results: Mean age was 48.8 ± 23.45 years, 77.74% were women, and 37.52% had risk factors, with BMI of 28.9±3.96 kg /m². The duration of the anesthetic/surgical procedure was 63.36 ±12.14; 5.28% required additional intravenous analgesia and 19.98% and 12.48% required additional anesthesic dose thought the epidural catheter; 4.92% of the patients had bradycardia and atropine was administered, 4% showed hypotension and ephedrine was administered. There were not cardiovascular o pulmonary complications and in 1.43% has adverse effects (nausea and vomiting). In 1.42% conversions to general anesthesia and there was no mortality in the group. Conclusions: We conclude that subaracnoidal anesthesia in laparoscopic cholecystectomy is a safe, reliable and feasible to perform, with advantages over general anesthesia.

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