Thoracic epidural anesthesia for gas-free trans-umbilical single port laparoscopic cholecystectomy: a case report

Xiu Ni; Xiang Zhao; Mengzhu Li; Quan Li; Zhiqiang Liu

doi:10.18203/2349-2902.isj20164483

Authors

Xiu Ni Department of Anesthesiology, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, China Department of Anesthesiology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China
Xiang Zhao Department of Anesthesiology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China
Mengzhu Li Department of Anesthesiology, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, Shanghai, China
Quan Li Department of Anesthesiology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China
Zhiqiang Liu Department of Anesthesiology, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, China

DOI:

https://doi.org/10.18203/2349-2902.isj20164483

Keywords:

Epidural anesthesia, Laparoscopic cholecystectomy

Abstract

Laparoscopic cholecystectomy (LC) is usually performed under general anaesthesia (GA). With the advancement of surgical and anaesthetic technique, there were many LC have been successfully performed under epidural anaesthesia in recent years. Surgeons in our hospital have performed gas-free trans-umbilical single port laparoscopic cholecystectomy since 2015. However, the description of thoracic spinal epidural anesthesia (TEA) for gas-free trans-umbilical single port laparoscopic cholecystectomy has not been reported yet. The goal of anesthetic management in gas-free trans-umbilical single port laparoscopic cholecystectomy procedures includes achieving an adequate level of sensory blockade without any respiratory compromise, providing good postoperative pain relief, and mild pain at early ambulation. Epidural anaesthesia fulfils all the mentioned criteria and can contribute to quick recovery and thus has been suggested to be a suitable alternative to general anaesthesia for laparoscopic surgeries. We present a case of the successful application of the thoracic epidural anaesthesia combined with laryngeal mask for gas-free trans-umbilical single port laparoscopic cholecystectomy and postoperative pain.

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