Thoracic segmental spinal anaesthesia vs general anaesthesia for laparoscopic cholecystectomy: a comparative study

Background: Regional anaesthesia techniques are now being preferred over General in patients with major medical problems and those at high risk for GA. Thoracic segmental spinal has recently gained popularity because of its safety efficacy procedures like laparoscopic cholecystectomy, breast surgeries etc. Methods: A comparative study involving 50 ASA grade I & II both genders age group 25-55 years, weighing between 50-85 kg posted lap. Cholecystectomy GGH, Kakinada a period 5 months. Patients were divided into Group B 25 each group. After taking informed written conscent, given Segmental Spinal Anaesthesia T10 level Inj.0.5% isobaric Levo-bupivacaine 1.75 ml (13.75 mg) Inj. Fentanyl 0.25 (25 mcg) GA fentanyl, propofol, sevoflurane, succinylcholine vecuronium. Results: conscious less hemodynamic variability, greater duration post operative analgesia, first rescue analgesia observed A. Whereas intubation response, more requirement intraoperative opioid, lesser time B. Conclusions: TSSA is safe alternative as it provides excellent analgesia. With TSSA, can be avoided patents comorbidities.