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Awake laparoscopic cholecystectomy:A case report and review of literature

World Journal of Clinical Cases 2023年第13期11卷 3002-3009页

作者： Chiara Mazzone Maria Sofia Iacopo Sarvà giorgia litrico Andrea Maria Luca Di Stefano Gaetano La Greca Saverio Latteri Dipartimento di Scienze Mediche Chirurgiche e Tecnologie Avanzate"G.F.Ingrassia"Universitàdegli Studi di CataniaCatania 95123Italy

BACKGROUND Laparoscopic cholecystectomy(LC)is one of the most widely practiced surgical procedures in abdominal *** undergo LC during general anaesthesia;however,in recent years,several studies have suggested the ability to perform LC in patients who are *** report a case of awake LC and a literature *** SUMMARY A 69-year-old patient with severe pulmonary disease affected by cholelithiasis was scheduled for LC under regional *** first performed peridural anaesthesia at the T8-T9 level and then spinal anaesthesia at the T12-L1 *** procedure was managed in total comfort for both the patient and the *** intra-abdominal pressure was 8 *** patient remained stable throughout the procedure,and the postoperative course was *** Evidence has warranted the safe use of spinal and epidural anaesthesia,with minimal side effects easily managed with *** anaesthesia in selected patients may provide some advantages over general anaesthesia,such as no airway manipulation,maintenance of spontaneous breathing,effective postoperative analgesia,less nausea and vomiting,and early ***,this technique for LC is not widely used in Europe;this is the first case reported in Italy in the *** anaesthesia is feasible and safe in performing some types of laparoscopic *** studies should be carried out to introduce this type of anaesthesia in routine clinical practice.

关键词： Laparoscopic cholecystectomy Awake surgery Awake laparoscopy Gallstone disease Regional anaesthesia Spinal anesthesia Case report

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